Pre-Consultation - 90 Days | Alchemy

First name

Last name

Email

Timezone

How did you hear about Alchemy for Human Hearts?

What inspired you to explore this program?

What kind of transition are you navigating?

Caregiving

Grief

Career Realignment

Other

What do you feel is holding you back from navigating this transition with grace?

Are you open to practices like journaling, meditation, and somatic work?

Yes

No

Unsure but curious!

Are you ready to commit to 2–3 hours per week for personal reflection and exercises?

Yes

No

I'd like to, but I might need help creating time

Have you worked with a coach, healer, or mentor before?

Yes, it was helpful!

Yes, but it wasn't the right fit.

No, this is my first experience

Do you have any specific sensitivities, concerns, or challenges I should be aware of before we begin? (e.g., trauma history, health limitations, emotional triggers)

Is there anything else you’d like me to know about your journey or intentions?