Discovery Session application to work
with Ajaya Sommers  
Welcome! I look forward to getting to know you through this process.  To discover how I can best serve you in aligning with your Life, embodying your purpose and releasing what no longer is of service to your path, please take the time to answer the following questions as honestly as you can. Everything you share will be kept completely confidential. 
start
 
Hello Beautiful, please share your name?

 
Phone:

 
Email:

 
Web Address:

 
Age:

 
How did you learn about my offerings? 

 
What is the primary focus of your life right now?

 
Here are some areas to consider sensing into how fulfilled you are. Please let me know which areas stand out to you as needing the most support? 

Health, Fitness and Diet 
Intimate Relationships 
Sexual/Creative Energy
Career/Dharma/Service  
Financial Abundance  
Spiritual Life/Growth  
Family & Community   
Pleasure, Adventure & Play
Your Home and Physical Environment

 
What do you see as the biggest obstacles, fears, concerns, or frustrations blocking the flow of what you want to create right now?

 
Are you interested in one-on-one private coaching immersions, group retreats online or live programs? 

 
Are you ready to invest the necessary amount of time, energy, compassion and money in order to create and embody a life that you LOVE and experience as being deeply congruent all the way through your core?

 
What are your greatest gifts and talents and how are you already expressing them?

 
What do you do for a living?

 
Is there a path of  greater service that you long to engage with the resources that you already have and yet you are unclear as to how to proceed?

 
Are you on any medications or recreational drugs? If so please list them here:

 
Have you had previous somatic or psycho-spiritual work or embodiment coaching, if so, what kind?

 
If you answered yes to the above question, what did you find most valuable and effective in your experience? 

 
Do any specific shock traumas or developmental traumas stand out to you that still feel unresolved or obstructing aspects of your life force?

 
If we could create a miracle for you in our work together- what would that  be for you?

 
Who stands out as a hero to you, dead, alive, fictional or non-fictional and why?

 
Do you have any reservations, concerns about working with an embodiment coach or mentor like myself? If so, what are your reservations?

 
What is your approximate yearly income?


 
Please share anything else that you would like me to know.

You did it! Thank you for being vulnerable and taking the time to feel into these questions. As a next step, I will take a look at your application and sense into whether we would be a great match. If so, we can proceed with a free discovery session. Either way, watch out for an email in your inbox in the next couple of days.
again
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You did it! Thank you for being vulnerable and taking the time to feel into these questions. As a next step, I will take a look at you application and sense into whether I can serve you! If so, we can proceed with a free discovery session. Watch out for an email in your inbox in the next couple of days.
again
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Powered by Typeform