APPLY FOR THE HEALING PATHWAY
Booking Source
First Name
*
Last Name
*
Email
*
Phone
*
State
*
Country
*
Country
Age
*
Have you read either of Tracey's books?
*
Have you watched the full Healing Pathway educational video?
*
What most clearly describes why you want to work with Tracey now?
*
How long has this been significantly affecting your life?
*
How much is this currently impacting your daily functioning, relationships, or wellbeing?
*
1
2
3
4
5
6
7
8
9
10
How willing are you to fully engage in that process?
*
1
2
3
4
5
6
7
8
9
10
How much time per week can you realistically commit to your healing work and integration?
*
What approaches have you already tried to resolve this?
*
Are you currently under psychiatric care or experiencing an acute mental health crisis?
*
If yes, please briefly explain (optional).
Do you fully understand and accept this investment structure if you decide to proceed?
*
The total investment for the Healing Pathway is: $2,500 USD upfront
If we move forward, when would you want to begin?
*
What feels most important for you to heal, change, or resolve right now?
APPLY TO WORK WITH TRACEY GILLIES
APPLY FOR THE HEALING PATHWAYAPPLY FOR THE HEALING PATHWAY