Welcome to Your Meditation & Mindfulness Intake Form

I’m so glad you’re here! 🌿 This form helps me understand your unique needs so I can create a personalized meditation journey just for you. My sessions are structured and guided, with clear exercises, meditation techniques, and journaling prompts — while leaving space for your feedback and reflection.

There are no wrong answers here. Your honesty will help me tailor each session to support your clarity, calm, and personal growth.

Please take your time and answer thoughtfully — this is the first step in creating a practice that truly fits your life and goals.

✨ Thank You for Sharing

Your responses will help me design a program that supports you physically, mentally, and spiritually. Once you submit the form:

• I will review your answers and reach out to schedule your first session.

• You’ll receive guidance and resources personalized for your goals.

• Our sessions will focus on structured, guided practices with room for your feedback so we can adjust and grow together.

I’m excited to help you create a practice that brings calm, clarity, and meaningful personal growth into your daily life.