Intake form

Name *

Email address *

What is your primary reason for seeking self-care support?

Please select at least one option.

Stress management

Personal growth

Emotional well-being

Physical health

Spiritual connection

Financial security

Relationship building

Community support

Which areas of self-care are you most interested in?

Please select at least one option.

Physical

Spiritual

Mental

Emotional

Social

Financial

How did you hear about happy Self-Care journey studios & academy?

What is your preferred method of learning?

What challenges do you currently face in your self-care journey?

What goals do you hope to achieve through our programs?

Are you interested in one-on-one coaching?

What is your availability for workshops or coaching sessions?

Please select at least one option.

Weekdays

Weekends

Evenings

Mornings

Afternoons

Would you like to participate in community events?

Additional questions or comments

Happy Self-Care Journey Studios & Academy