House of Flowers
Relational Plant Medicine
A P P L I C A T I O N
Indicates required field
Date of Birth
Emergency Contact // Name and Number
How did you first hear about my work and find out about this course?
Tell me about your past experience with herbalism and flower essences.
Please note, no past experience is required.
What do you feel drawn to about herbalism in general and this offering specifically?
Tell me a little bit about what's going on in your world right now.
Tell me about some of your goals, dreams, and visions for your life.
What is your heart's deepest desire?
Tell me about some of the challenges you are facing.
What does support look like for you? What words or actions help you to feel most seen and held?
Describe your learning style. What helps things to "click" for you?
What are your goals for this immersion and retreat?
Do you have any specific accessibility needs for the online or in person portion of the offering?
Do you have any specific sensory needs for the online or in person portion of the offering?
Do you have any dietary preferences or food allergies?
Is there anything else you'd like me to know about you??
F A Q
P R E S S
C O N T A C T