Application for Take Health Into Your Own Hands Program for Therapists, Coaches, Healers

Welcome dear Healer, Guide, Coach, Space Holder,

Take Health Into Your Own Hands is designed for therapists, coaches, and healing professionals who know that true service begins with self-care. If you're navigating the demands of holding space for others while yearning to replenish your own vitality, this program offers an empowering return to wholeness through the timeless wisdom of Ayurveda.

This is for you if you’ve walked through personal or professional challenges, and are now ready to deepen your own healing, embody sustainable wellbeing, and align your lifestyle with your deeper purpose.

Please take a few moments to answer the questions below with honesty and heart. Your responses will help us determine if this program is the right fit to nourish your health, your service, and the sacred work you’re here to do.

Name

First Name

Last Name

WhatsApp Phone

Country

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1. What is your biggest challenge you are currently facing and finding difficult to overcome? (Share freely — emotional, physical, spiritual, or relational challenges are all welcome here.)

2. If anything were possible and there were no barriers, what would your life look and feel like 12 months from now? (Describe your vision or heartfelt desire.)

3. If you had a genie granting you one wish from participating in this program, what would you wish for?

How did you hear about this program?

What are your general availability windows (days and times in your time zone) to attend live sessions? (Please list all times that could work for you so we can do our best to find a group time that aligns, should you be accepted into the program.)

Anything else you'd like to share?