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.

Förnamn

Efternamn

E-post

Telefon

Adress

Födelsedag

År

Månad

Dag

Yrke / Bransch

Vad är din främsta anledning till att delta i den här retreaten? Vad hoppas du uppnå med den här upplevelsen?

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

Hälso- och medicinsk information (konfidentiell – för din säkerhet)

Har du något av följande tillstånd? (Kryssa i alla som gäller)

Vänligen specificera:

Tar du för närvarande några mediciner som kan påverka ditt deltagande?

Har du någon historia av trauma, ångest eller panikattacker?

Tidigare erfarenhet:

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?

Bokning och betalning:

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.

Bokningspolicy:

En deposition på 30 % krävs för att säkra din bokning. Denna deposition återbetalas inte.
Resterande 70% måste betalas senast den 7 juli (tre månader innan retreatet börjar).
Vid allvarlig sjukdom återbetalas 70 % av kostnaden mot uppvisande av giltigt läkarintyg .

Jag förstår att en deposition på 30 % krävs för att säkra min plats. Resterande belopp ska betalas senast den 7 juli.

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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