Application

Ready for a change?

I believe meaningful work begins with the right fit.

The application gives me an opportunity to understand where you are, what you're working toward, and what you're hoping to change. It also gives you a chance to pause and reflect on what you want from this experience.

You don't need to have everything figured out before you apply. You don't need perfect clarity or a specific answer for what needs to change.

You simply need to be willing to be honest, curious, and engaged in the process.

Once I review your application, we'll determine together whether Foundations is the right fit for you.

If I believe another form of support would better serve your needs, I'll be honest about that too.

What Happens After I Apply?
- Apply
  Complete the application so I can learn more about you, what you're looking for, and what you'd like to explore.
- Review
  I'll personally review your application and follow up with you.
- 20-minute call
  If it appears that we may be a good fit, we'll schedule a 20-minute phone conversation to discuss your goals, expectations, and what working together would look like.
- Decision
  If we both feel this is the right next step, we'll schedule your 3-day intensive.

Fill out the application below

First Name *

Last Name *

Phone *

Date of birth *

Email *

1. What would you most like to change, work through, or experience differently? Please describe what brings you to this work in your own words. *

2. Why does making this change matter to you? What would be different in your life if this were no longer holding you back? *

3. Why are you seeking support now?. *

4. What have you already tried to address this? What helped, what didn't, and what have you learned from those experiences? *

5. If our work together were successful, what would you hope to walk away with *

6. How would you describe your current level of readiness for change? 1-10 (10 = total ready) *

7. This work is active and experiential. Are you willing to participate fully, reflect honestly, and practice or experiment with new approaches between sessions? *

9. Is there anything about your current physical, psychological, or emotional circumstances that you believe would be important for me to know in determining whether this work is appropriate for you? *

9. Is there anything else I should know before reviewing your application? *

By checking this box, I consent to receive non-marketing text messages from ValentinaSvH about reminders, appointments, and services . Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I understand that this is an active personal-development experience and that participation requires openness, engagement, and willingness to participate. I understand that hypnosis and other experiential practices may bring up thoughts, emotions, memories, physical sensations, or other personal reactions, and that individual responses can vary. I understand that I am responsible for communicating any concerns or reactions I experience during the process.

I understand that this is not psychotherapy, mental health treatment, medical care, or a substitute for treatment from a licensed mental health or healthcare professional. ValentinaSvH does not diagnose or treat mental health disorders through this program. I understand that completing this application does not guarantee acceptance or booking, and that participation is subject to determining that the program is appropriate for my needs.

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