Health, Support & Readiness
This section helps us understand your current wellbeing and readiness so we can support your participation thoughtfully. Your responses are held with care and complete confidentiality.
Physical Health
Do you have any current medical conditions, recent surgeries or injuries, or physical considerations we should be aware of?
This includes anything that may affect your participation in movement practices, breathwork, travel, or retreat activities such as sauna or cold plunge experiences.
Emotional & Mental Health
Have you experienced any of the following at any point in your life?
Select all that apply. This information helps us understand your history and provide appropriate support.
Anxiety
Depression
Trauma or PTSD
Eating concerns
Substance use concerns
Bipolar disorder
Psychosis or related experiences
Psychiatric hospitalization
Other significant mental health challenges
None of the above
Are any of these concerns currently active in your life?
If yes, please share briefly. You don't need to share more than you're comfortable with.
Your Support System
Are you currently working with a therapist, psychiatrist, physician, coach, spiritual mentor, or other support professional?
Please share as much or as little as you'd like.
What practices or forms of support help you stay grounded and regulated in your daily life?
Readiness & Community
What draws you to this experience at this particular moment in your life?
What challenges are you currently navigating?
You might be in a season of transition, loss, growth, or uncertainty — share whatever feels true.
What kind of support do you hope to receive from a community of women?
What do you feel you have to offer this community?
Stability & Capacity
Are there any circumstances in your life right now that may significantly affect your ability to participate consistently throughout the year?
Major transitions, caregiving responsibilities, health concerns, work demands, or anything else worth naming.
How do you feel about your current emotional capacity to engage in a year-long, growth-oriented community?
We are not looking for a perfect answer — we are looking for honest self-awareness.
EWM is a personal growth and community program and is not a substitute for psychotherapy, psychiatric treatment, crisis intervention, or medical care. Participation may involve emotional exploration, group discussion, movement practices, and nervous-system-based experiences. The information provided in this application helps us determine whether this program is an appropriate fit at this time.
I understand and acknowledge the above statement.
