Welcome

Thank you for your interest in a private breathwork session. This form helps me better understand your intentions, current emotional and physical state, and how I can create a supportive environment for your experience.

Breathwork can be a powerful tool for nervous system regulation, emotional processing, relaxation, self-awareness, and embodiment. While sessions may feel deeply supportive, they are not a substitute for medical care, psychotherapy, or mental health treatment.

Please answer the following questions honestly and thoughtfully. Everything shared will remain confidential within the scope of my practice.