ARE YOU A SEEKER?

I have completed steps 1, 2 & 3!

Step 1: What is NetworkSpinal

Step 2: Our Process

Step 3: New Clients

Name *

First Name

Last Name

Mobile *

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Preferred appointment times

We are open all day Monday and Friday, partitioned into three shifts per day. Each shift offers all appointment types required for care. When would you like to attend your appointments?

From 6:00am - finished by 9:00am

From 10:40am - finished by 1:40pm

From 3:20pm - finished by 6:20pm

Select any of the following that apply: *

🟤 I’m interested in regulating my nervous system

🟤 I want to experience more peace, calm and stability, mentally AND somatically

🟤 I have a lot of symptoms and it can be overwhelming

🟤 I want to move past the trauma I’ve experienced

🟤 I want to have a better relationship to myself, my body and my life

🟤 I feel disconnected

🟤 I’d like to have a better relationship with others

🟤 I feel polarised in my life

🟤 I am aware that trauma and stress can have an impact on my nervous system

🟤 I want to regulate my emotional charge

🟤 I recognise negative patterns of thinking, feeling and behaving in my life

🟡 I’m done with this shit in my life and I’m drawing a line

🟡 I’m sick of playing out the same old patterns

🟡 I want to reclaim my power back

🟡 I want to play a larger game in life than what I have been

🟡 I want to transform my wounds into gifts

🟡 I’m discovering that there is more to life than seeking less of something

🟡 I understand that my experiences have shaped me and know that they can re-shape me

🟡 I’m excited to evaluate the structures, perceptions and behaviours of my body and my life

🟡 I understand that pain and discomfort can be an important signal from my body and my life

🟡 I want to quiet my thinking mind and be more present

🟡 I want to be able to recognise opportunity when it comes knocking and claim it

🟡 I want to learn my individual formula for how my nervous system processes energy and information

🟡 I want to experience a more authentic me

⚪️ I want to awaken a higher calling within myself

⚪️ I want to impact others on a deeper level

⚪️ I want more internal awareness, connection and resourcefulness to handle and flourish in spite of challenge or circumstance

🔵 None of the above apply to me