Embodied Dharma Application

Core Embodiment Leadership Application

Leading Edge Somatic, Nature Based, Trauma Informed Practices for those Who Are Ready to Thrive at the Intersection of Creative Leadership, Deep Intimacy &
Embodied Awakening.

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6 Month Foundation in Core Embodiment

with Ajaya Sommers
Dates: November 18, 2023- May 2024

This is a brief questionnaire to explore whether this course is an aligned match for you at this time. Please be as honest and detailed as possible. Allow these questions to serve you in becoming more intimate with yourself. This form is completely confidential. I will reach out to you to set up an interview to explore moving forward together. Thank you for your interest and for taking the time to feel into what you most want for yourself and your life's greatest expression.

First Name

Last Name

Website if you have one

Where do you live?

Please let me know how you came to find me?

What is your profession or primary work? Please also share as well your 'inner vocation'- meaning, deepest devotion this incarnation?

What are you resonating with the most about this invitation so far?

What is your vision for your life that you have yet to fulfill?

If you imagine right now, actualizing and embodying this vision, how would you feel on the inside? What would change in your experience?

Do you have a tangible project that is an expression of your vision that is in some version of a chrysalis phase, that you would like to receive support in fully actualizing? If so, briefly describe your project.

In what areas do you sense you would need the most support in embodying this fullest expression of you into your lived reality?

How is your relationship with boundaries? On a scale of 1-10 ( 1 being, " I don't know what a boundary is!" to 10, "I am a master of owning my space and honoring my needs").

Do you have experience with Pranayama or other forms of breath work that may activate your Kundalini or create an increase of your life force-- aka a 'flow state'?

Are you on any medications for mental or physical health reasons? If so, may I please know what they are?

If you join the Core Embodiment Leadership Program - imagine what your life would be like in a year from now. What would you be celebrating as the fulfillment of your Embodied Dharma or Calling?

Are you willing, ripe and ready to receive support to explore the necessary changes for the totality of your LIFE to align with your core values? In other words do you have the necessary desire, time and money to explore what would be involved to truly thrive?

Are there any questions you have for me or anything else you would like me to know about you that would support our discovery call together?

Thank you

For taking the time to fill this out. See you soon!

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