Apply for the Resilience Rebirth Package

This application helps us understand what you’re moving through and whether this 12-session journey is the right fit.
We keep this work high-touch — limited to a maximum of 10 clients per week.

First Name *

Last Name *

Phone *

Email *

Location *

What’s the main challenge you want help with right now? *

If this journey worked perfectly, what would be different for you in 90 days? *

What have you tried so far to resolve this? *

On a scale of 1–10, how ready are you to commit to a 12-session journey?

110

What support style do you feel you need most? *

Session format preference *

Preferred times *

Morning (8am–12pm)

Afternoon (12pm–4pm)

Evening (4pm–6pm)

Anything we should know about your availability?

Are you currently receiving support from a medical or mental health professional?

Is there anything we should be aware of to support you safely

By checking this box, I consent to receive transactional SMS messages from Soul Flow Healing (trading as Blue Mantis Training Systems Pty Ltd) related to bookings, reminders, and service updates. Message frequency may vary. Message & data rates may apply. Reply STOP to opt out, HELP for help.

By checking this box, I consent to receive marketing SMS messages from Soul Flow Healing (trading as Blue Mantis Training Systems Pty Ltd), including offers, updates, and resources. Message frequency may vary. Message & data rates may apply. Reply STOP to opt out, HELP for help.

Consent *

I understand this is a holistic healing/coaching service and is not a substitute for medical or mental health care.