Healing Fit Form A rhythm-aligned way to find your best starting point. Name * First Name Last Name Email * Phone (###) ### #### Age Range * Under 18 (with guardian support) 18–25 26–40 41+ What brings you here? * (e.g., stress, burnout, identity shifts, creative block, trauma, self-expression) Have you done counselling or healing work before? * Yes No Sort of / Not sure Which session(s) are you drawn to? (multi-select) The Root Sessions (1:1 Therapy) Groundwork (Beginner Support) The Wellness Grove (Community Healing) Soul Frequencies (Audio + Journaling) The Vibe Lab (Creative Movement) I don’t know yet Preferred session format: * Virtual In-person (if available) Either What’s your current vibe? (short answer) * (e.g., “ready to dive in,” “holding a lot,” “curious,” “burnt out”) Is there anything you’d like Jay to know before starting? Thank you for sharing your energy with us.Jay will review your form within 48 hours and suggest your best next step.You’ll receive an email soon with gentle guidance.
