Your name

Your email

What is your background with spiritual/energetic practices?

What are your current self-love practices/rituals?

What are some of the challenges that you're currently working through?

Why are you interested in working with me for an 8-week 1:1 experience?

Rebirth is a life changing program — are you ready & able to fully invest in yourself today?

Who can I thank for leading you here?

Is there anything you'd like to share with me?

I understand that some of the work that we'll be doing will trigger the Universe to respond in unpredictable ways that can at times be uncomfortable and challenging. I am open to playing with the magic of the unknown and will reach out to Rebecca for support whenever needed.