Name * First Name Last Name Email What draws you to womb healing at this time in your life? How do you currently feel about your womb and your body? What is your relationship to your cycle, if you have one? Have you been pregnant, experienced miscarriage, abortion, or birth? (If so, what would you like to share?) How was your experience with your mother or the maternal line in your family? Have you experienced sexual trauma or boundary violations? (No pressure - you can answer as you feel ready) What intention or hope are you holding for this session? Is there anything else you'd like me to know before we begin? Thank you! Womb Session Intake Form
