Application — breathe with me

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This application process is to ensure you are in good health to participate in breathwork, and that you are serious about breaking your patterns and cycles!

Can't wait to breathe with you...

Name

First Name

Last Name

Question 1

Have you ever practiced breathwork before? If yes, please describe your experience. If no, what interests you about incorporating breathwork into your routine?

Question 2

Do you have any medical conditions or concerns that may affect your ability to participate in breathwork exercises? (Please note that certain conditions such as uncontrolled high blood pressure, epilepsy, or pregnancy may not be advisable for breathwork practice.)

Question 3

How would you describe your current mindset and emotional state? Are you feeling empowered and motivated to make positive changes in your life, or do you feel stuck?

Question 4

What specific goals or intentions do you hope to achieve through participating in this breathwork, mindset coaching, and movement program?

Question 5

Are you open to exploring and challenging limiting beliefs or thought patterns that may be holding you back from reaching your full potential?

Question 6

How committed are you to incorporating breathwork, mindset coaching, and movement practices into your routine? Can you dedicate time and effort consistently to this program?

Question 7

Have you previously engaged in any self-development or personal growth practices? If so, what have you found most effective for you?

Question 8

Are there any specific challenges or obstacles in your life right now that you hope this program will help you overcome?

Question 9

On a scale of 1 to 10, how ready and motivated are you to make positive changes in your life right now? Please explain your answer.

Question 10

Can you share an example of a time when you set a goal for yourself and successfully achieved it? How did you stay committed and focused throughout the process?