Regulated Power - Apply | Breathe with Rosie

The purpose of this application is to understand whether this work is a good fit for you at this time. Please answer honestly and thoughtfully. There are no right or wrong answers. You’re welcome to respond in English or Swedish.

Du är välkommen att svara på engelska eller svenska.

First name

Last name

Email

Phone

Address

Birthday

Day

Month

Year

Current role / area of work

What made you interested in Regulated Power at this moment?

How would you describe your current relationship to pressure and stress? In what ways do you feel pressure shows up in your body, mind, or daily life?

What would make this coaching a success for you?

Performance & Recovery

What does “performing well” currently look like for you?

How would you describe your ability to recover: mentally, physically, and emotionally? (What works well? What feels challenging?)

Do you find it difficult to truly switch off or slow down?

Yes

Sometimes

Often

Health & Medical Information (Confidential – for your safety)

Do you have any of the following conditions? (Check all that apply)

Please specify:

Are you currently taking any medication that may affect your participation?

Do you have any history of trauma, anxiety, or panic attacks?

Self-Regulation & Awareness

How familiar are you with working with the nervous system, breathwork, or embodied practices?

Not at all

Some experience

Regular practice

Optional comments

Commitment & Practicalities

On average, you should expect to set aside approximately 60–90 minutes per week for sessions, practices, and integration. Some weeks may require slightly more, others less.

Does this feel aligned with where you are right now?

Yes

Not sure

No I'm too busy

Preferred start timeframe (e.g. April start, flexible, later)

Is there anything important you’d like me to know about you, your situation, or your expectations?

Booking & Payment:

The total investment for Regulated Power is 54 000 SEK exkl. moms.

A 30% deposit is required upon acceptance to secure your place.

If needed, payment can be split into three instalments during the program period.

Booking Policy:

If you are accepted into the Regulated Power coaching container, a 30% deposit is required to secure your place. The deposit is non-refundable and will be deducted from the total program fee.
The remaining 70% balance can either be paid in full before the program starts, or split into three instalments during the program period.
Your place in the container is confirmed only once the deposit has been received.

I understand that a 30% deposit is required to secure my spot.

Refunds & Exceptions

In the event of serious illness, the remaining 70% balance will be refunded upon submission of a valid medical certificate. The initial 30% deposit remains non-refundable. No refunds are issued once the program has started.

If this feels like a potential fit, I will be in touch to explore next steps.

Not all applications will move forward, this is intentional to ensure the right container for both parts.

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