1:1 Coaching - with Gemma Douglas Name * First Name Last Name Email * Phone * (###) ### #### Are you local to Hawkes Bay or live out of town? Please list any medication / supplements you are currently taking - and why. Are there any health conditions (physical or emotional) I should be aware of — e.g., anxiety, panic, asthma, blood pressure, trauma history, pregnancy, etc.? What brings you to Breathwork right now? How does stress typically show up for you — in your body, emotions, or behaviours? What would you most like to feel more of in your life? Have you practiced any form of Breathwork, meditation, or nervous system regulation before? If yes, what types and what has (or hasn’t) worked for you? How do you currently find calm or reset when you’re stressed? What would success in our Breathwork session look or feel like for you? What areas of your life feel most “stuck” or out of alignment right now? Is there anything you feel hesitant, nervous, or unsure about when it comes to starting Breathwork? Message * Thank you!