Breathwork Booking Inquiry

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I would love to get to know you a little better and to understand what it is that you are looking for in a Breathwork session. Please complete this form in its' entirety and I will be in touch within 48 hours with a text message to finalize your booking.

First name

Last name

Phone

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I practice what is known as Conscious Connected Breathwork or CCB which is different from yogic Breathwork or Breathwork that is designed to calm the nervous system. During a CCB (Conscious Connected Breathwork) session, we are activating the body and its energy allowing the individual to reach their subconscious mind. This form of Breathwork can elicit both a physical and mental challenge as we are changing the pressures as well as the oxygen/carbon dioxide levels within the blood.

Do you have any experience with Conscious Connected Breathwork?

Do you have any medical conditions chronic or acute? (ie surgeries, pregnancy, detached retina/glaucoma, asthma, panic attacks, lung conditions).

Are you taking strong medications (ie cancer, blood pressure, stroke/seizures) or experience dissociative behaviours (ie schizophrenia, bipolar, depression)?

Do you have any allergies? Please include scents, food, outdoor allergies etc...

*Please note that if the weather permits these sessions may take place outside.

These sessions are provided In-Person on a beautiful property just outside of Port Perry, Ontario. Please indicate your ability to travel here for your session.

I can travel.

I am unable to travel at this time.

Why Breathwork? Why Now?

Which option would you like to book?

When are you looking to have your session? Please provide any specific dates that would work, preferred times, preferred days of the week. I will text you with a few options for you to choose from.