HYDRASOUL™
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FAQ
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Private Membership
The Madison Studio
Private Session(s) Intake
Welcome to HydraSoul, where YOUR transformation is our #1 priority.
Please fill out this form to the best of your knowledge. Click to view our
Terms and Conditions Policy
and
Cancellation Policy
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Indicates required field
Name
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First
Last
Email
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Have you experienced in-person, guided breath work before?
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Yes
No
Unsure
If so, how was your experience?
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Do you have any concerns for our session(s)?
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Private breathwork sessions often involve body guidance and repositioning, that require physical touch. Do you connect to this?
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Yes
I'd prefer touchless.
Unsure. I'll decide when we meet.
Are you sensitive to organic, essential oils being diffused into the air space?
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Yes
No
Unsure
Please check any that apply to you:
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Anxiety
Depression
Substance Abuse
Eating Disorders
Schizophrenia
Suicidal Thoughts / Attempts
Domestic Violence
Respiratory Issues
Cardiovascular Isses
Other Illnesses / Medical Conditions
Please check any that apply to you:
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Consistent fear or worry
Guilt or shame
Panic attacks
Avoiding situations or people
Night terrors or sleep hallucinations
Anxiety or nervousness
Discomfort in social situations
Memory problems
Manic or obsessive thoughts
Stress and tension
Medical concerns
Fatigue or lack of sleep
Work or money problems
How would you describe your home life support system?
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Where did you book your private session(s)?
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The Studio
Virtual Studio
My breathwork sessions are deep, and require some light focus, intention, and letting our bodies do the rest of the work. What is it you'd like to focus on during our session?
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Please list an emergency contact:
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We do not claim to treat or cure any mental or physical illnesses, disease, or condition. Do you understand this, and release us from this liability?
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Yes
Do you confirm that you have clearance from your physician to participate in breathwork and meditation practices?
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Yes
If other, please list:
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We provide alkaline water, light snack, yoga mat, yoga pillow, blanket, and warm bean sack eye cover. Would you like this to be set up for you, or do you desire to bring your own?
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Set up please.
I'll bring my own.
Consent to Participate: I understand that breathwork involves physical and mental exercises that may cause emotional and physical responses. I confirm that I am voluntarily participating in these activities and assume all risks associated with them. I agree to inform the facilitator of any discomfort, emotional or physical, that I experience during the session to adjust the practice accordingly. I confirm that I have provided complete and accurate health information to the best of my knowledge.
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Yes
For in studio sessions only
Car make and model (the door is kept locked during private sessions, so I'll keep an eye out for you to let you in)
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How did you find us?
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Facebook Ad
Google
Word of Mouth
Any last thoughts?
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👇🏻👇🏻👇🏻
IMPORTANT INFO
👇🏻👇🏻👇🏻
EXTERNAL ENTRANCE:
SECOND SUITE (Suite B) DOOR.
The door is kept locked for private sessions, so I will let you in.
INTERNAL:
through the red door, around the right corner, up the stairs, door on the left.
Please be here at 5-10 minutes prior to your session.
Submit Intake Form
Home
FAQ
Inquire
Private Membership
The Madison Studio