Psychedelic Integration CoachEmbrace the journey of transformationThe Threshold Intake Form

Customer Details – Full Name

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Customer Details – Email

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What are you hoping to get from the programme?

Have you booked your single session/sessions via calendar booking?

Section A – What are 3 values that guide your life right now?

What gives you a sense of meaning or purpose?

What would feel most fulfilling to accomplish through your coaching journey?

Current State – What are you currently navigating (emotionally, professionally, personally)?

Please confirm you’ve read all our policies and terms and conditions and are happy to proceed with your service selection.

time.) Full hoping

What patterns or challenges feel most present?

What support do you need to feel stable and empowered?

Coaching Intent – What would you like to explore or transform?

What outcomes would feel beneficial for your life and those around you?

Are there practices or modalities you’re drawn to (e.g., breathwork, journaling, visualization).

Time zone and country of residence (All sessions are booked and held in Arizona MST time.)

Other details