application form | Eric Racette

LET’S START HERE

You don’t need to know exactly what you want to work on.

Tell me a little about yourself, what’s bringing you here, and what you’re hoping might become possible.

I’ll read your answers with care and attention and get back to you to arrange a first conversation.

First name

Last name

Email

Phone

What brings you here? There’s no right way to answer this. You can tell me what’s happening in your life, what feels difficult, what you’re longing for, or simply what made you curious about this work.

Is there something you would like to experience differently in your life right now?

Are there particular areas of your life you’d like to explore?

Have you done any personal-growth, therapeutic, somatic, body-based or energy work before?

Somatic work can involve exploring emotions and experiences through conversation, awareness, breath, movement, sound and the body. How does that feel to you?

I’m curious and ready to explore

I’m interested, and a little nervous

I’m not really sure what to expect

I have some questions or concerns I’d like to discuss

Have you participated in any of my offerings or worked with me before?

Yes

No

I work a lot with members of the LGBTQ+ community. How do you indentify.

Where did you hear about me/ How did you find me?

Is there anything you’d like me to know before we speak?

One last question: What are you hoping could become more possible in your life through this work?

Thank you for sharing a little of yourself with me.

I’ll take the time to read what you’ve written and will be in touch personally to arrange a first conversation within 72 hours.

If you haven’t heard from me by then, please check your spam or junk folder — sometimes my emails find their way there