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1:1 Individual Immersion Experience

Thank you for feeling the call.

This form is the first step toward a deeply personal and transformational immersion experience. Your answers help Aurelie understand where you are on your journey, what you are ready to release, and how to best hold space for your awakening.

There are no right or wrong answers here. Simply respond from the most honest and open place within you. This is a sacred space and everything you share is held in complete confidence.

If you feel called to this work, trust that feeling. It is not an accident that you are here.

Take a breath. Drop into your body. And let yourself be seen.

Not all applications will be accepted.
All information shared in this form is completely confidential and will never be shared or sold. If you have any privacy concerns or prefer to submit your inquiry privately, you are welcome to reach out directly at [email protected]

Click the button below to start.

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Question 1 of 20

First and Last Name

Question 2 of 20

Email Address

Question 3 of 20

Phone Number

Question 4 of 20

WhatsApp/Telegram

Question 5 of 20

Location (City, State, Country)

Question 6 of 20

Which statement best reflects your intention? (Select One)

A

I am ready for deeper, embodied transformation

B

I am exploring and curious but not fully committed yet

C

I am unsure but interested

Question 7 of 20

What is your current profession or area of focus?

Question 8 of 20

What is currently bringing you to explore this work?

Question 9 of 20

Which of the following best describes your current experience (select all that apply)

(Select all that apply)
A

Feeling disconnected from pleasure

B

Reliance on external stimulation or quick fixes to feel pleasure (porn, TV, alcohol, drugs, etc)

C

Navigating separation, divorce, or relational loss

D

Feeling disconnected from self

E

Difficulty accessing intimacy

F

Stressed, tired or triggered

G

Feeling blocked

H

Feel shame, unworthiness and guilt around pleasure

I

Desire to expand, uplevel, and experience even more bliss in every area of my life

J

Other

Question 10 of 20

If you answered "Other" to the previous question, please explain. 

Question 11 of 20

What have you already explored or tried to shift in this area?

Question 12 of 20

Why are you seeking support now?

Question 13 of 20

On a scale of 1-10, how committed are you to real change?

A

1

B

2

C

3

D

4

E

5

F

6

G

7

H

8

I

9

J

10

Question 14 of 20

What are you hoping will change in your life as a result of this work?

Question 15 of 20

Which type of experience are you interested in? (select one)

A

Private in-person immersion

B

Extended 2-6 month private journey

C

Not sure yet

Question 16 of 20

Are you available and willing to travel to Kauai for a private immersion if invited?

A

Yes

B

No

Question 17 of 20

Please confirm your understanding of this work. (check all)

(Select all that apply)
A

This is a non-sexual, professional, guided emodiment and energy healing experience

B

There is no physical intimacy or sexual interaction with Aurelie

C

This work focuses on spiritual connection, internal awareness and embodiment

D

Every journey is individualized and customized around the client's intentions and desired soul outcome

Question 18 of 20

Are you prepared to invest in a high-level custom experience?

A

Yes, I am ready for premium investment

B

I am open, but would like more details

C

Not at this time

Question 19 of 20

If accepted, how soon are you ready to begin?

A

Immediately

B

Within the next 1-2 months

C

Exploring for now

Question 20 of 20

Is there anything else you would like to share before reviewing your application?

Confirm and Submit