Apply Today! Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Getting to Know You:Full Name *FirstLastEmail *PhoneWhich container are you applying for? (3, 6, or 12 months) *Sacred Shift - 3 months - $2,500Sacred Reset - 6 months - $4,000Sacred Reclamation - 12 months - $6,000Are you planning to pay in full or do a payment plan? *--- Select Choice ---Pay in FullPayment PlanTell Me About Your Family *Include details about your family, such as kids' ages, partner, and household dynamics.What Drew You to The Balanced Nest? *Share what attracted you to this program.Current Struggles:In your own words, what feels hard right now? *What do you find yourself repeating? *What do you find yourself repeating (emotionally, verbally, energetically) even though you don’t want to?How are your current patterns affecting your relationship with your kids, partner, and/or self? *Emotional & Energetic Landscape:How often do you feel regulated vs. overwhelmed in a typical week? Selected Value: 0 0 being calm and regulated vs 10 being completely overwhelmed and maxed out. container Additional somatic What tools (if any) do you currently use for emotional regulation or energy clearing? *Do you have any experience with somatic work, energy healing, or Human Design? (Not required, just helpful to know.)Coaching Rediness:Why do you feel called to do this work now? *What has changed in your life that has made room for consistency, growth, and healing?What would success in this container look like for you, beyond “feeling better”? *Are you open to exploring root causes that may feel emotional, ancestral, or spiritual in nature? *Please explain any previous experiences you've had in these areas.Capacity & Commitment:Can you realistically commit to 2–4 hours per week for deep inner work, reflection, and integration? *This includes weekly sessions and check-insWhat our your plans about sharing your healing journey? *Do you plan on telling family or friends? Why or why not?Additional InformationShare anything else you'd like to about your story or intentions.Submit Application