SAFARI APPLICATION Thank you for your interest. Everything here is confidential. Name * First Name Last Name Email * Location / Time Zone * How do you spend your 'professional time'? * Are you currently facing any specific or general challenges? * Have you worked with a coach or therapist on a long term basis before? * Did you feel there were benefits to that work? Anything helpful or frustrating in that experience? * Do you have clear goals that you are currently pursuing? Is there a specific result your looking for from a coaching program? * Are any of the below relevant to how you're currently feeling? (even if just in moments) confusion / lack of direction fear of something specific fear with no clear cause overwhelm too much energy lack of energy restlessness grief general anxiety moments of paranoia hamster-wheel mind / overthinking heaviness problems sleeping Do you notice emotional patterns/cycles in your life? * Yes, I'm currently looping Sometimes - but not right now I do, but it doesn't feel bad Not anymore I'm just navigating my forward path Do you know anything about your astrology or human design? If yes please leave the headlines here. Would you describe yourself as spiritual, religious, agnostic or an atheist? Are there any principles that inform your worldview on a deep level? You're either unwell or hungover and you want to watch a movie - what do you put on? * Have you worked with flower essences before? * Yes I am familiar with them I got given rescue remedy when I was young New to them Thank you for your trust We will be in touch via email as soon as possible. “NATURE DOES NOT HURRY, YET EVERYTHING IS ACCOMPLISHED” - Lao Tzu
