Complete Questionnaire Here Name* First Last Email* How did you hear about us?*What is your biggest goal or motivation?*Have you had any breathing experiences with us already?* No, not yet Online breathing master class Breathing edge facebook group The Breathing Studio On The Go Meditations and Strategic Breathing Toolkit What’s the number one obstacle holding you back from what you want right now? (Including pain, physical ailments, lack of energy, lack of confidence, fear etc.)*How has this been affecting you (i.e. relationships, work, focus, sleep, etc), and what could you accomplish if it was handled? (dream big here)*If you have a self-care or mindfulness practice, how much energy are you currently devoting to a practice?*None - I'm busy and don't know where to start!Minimal - I've been dabbling, but nothing consistent.Manageable - I have a consistent practice for the most part, but could expand on it!Ideal- I stick to my daily rituals always, but I'd like to build breathwork knowledge in as a new foundation and evolve even furtherWhat are your current self-care / mindfulness practices?* Yoga, Pilates, Dance Breathwork and meditation Ice Baths and/or Saunas Chiropractor, massage, acupuncture, body work Naturopathic medicine Plants as Medicine and/or essential oils Tai Chi, reiki or other energy work Support through psychologist, shaman, mentor or coach How much do you spend per month on self-care / mindfulness practices?*Less than $500Less than $1,000More than $1,000More than $3,000How would you describe yourself?* Business Leader Business Owner Rockstar Entrepreneur Parent Instructor or Fitness Professional Coach or Mentor Health Care Professional Other If other please list hereWhich of these options would be of more interest to you with regards to what support you feel you need?*Prefer to learn at my own pace, on my own.Prefer to be in a group learning together.Prefer to accelerate results with a personal coach.Not Sure, just exploring for now.Is there anything else you would like to share?