6/week breath form — Cultivating Connections

weekly Check In

This form helps me outline the breathwork portion of our session as well as create the music. The more information i have the more I can customize this session for your mind, boy, and spirit.

Overall Feelings: How are you feeling energetically this past week? How are you feeling physically this past week? How are you feeling emotionally this past week?

What areas are you feeling need more attention and care this coming week if any?

Nervous System (feeling overwhelmed/tired or overly stressed this week)

Energy Levels

Self-Care Practices

A more compassionate Inward Perspective

A more compassionate Outward perspective

Lets check in with the energy centers! This past week on a scale of 1-5:

How grounded have you felt? Are you operating from a place of peace? (Root Chakra)

How balanced have your emotions been or your ability to navigate them? (Sacral Chakra)

This week on a scale of 1-10 how much energy have you had ? (Solar Plexus Chakra)

This week how well have been able to give and receive from your heart space and emotions? (Heart Chakra)

This week how has your communication with others and yourself been? have you been able to express yourself been lately? (Throat Chakra)

How much do you listen/ trust your intuition this week?(Third Eye Chakra)

How connected do you feel to something bigger than yourself through out last week?(Crown Chakra)

weekly Check In

Cultivate & Connect