Shadowlands Application Form Name* First Last Date of Birth* MM slash DD slash YYYY Mobile Number*Email Address* Relationship Status* Ages of living Children (if applicable) Postal Address* Street Address Suburb / City State / Province / Region ZIP / Postal Code Are you currently taking any anti-depressants or medication?* No Yes In the past yes, but not any more What has drawn you to Dancing in the ShadowLands? What do hope a year dancing with your Shadow will solve?*Please explain your current understanding of what your shadow is and how it affects your life. Name your most familiar shadows.*Do you personally have any history of physical/sexual/domestic violence abuse or alcoholism/addiction, psychosis? To your knowledge, did any of your ancestors?*Dancing in the ShadowLands is for your personal and educational purposes. Are there areas of your emotional and mental health that you feel vulnerable and unable to accept self responsibility for?*Have you suffered from abuse, trauma or surgery to your reproductive area (including if you feel to share, rape, traumatic births or abortions)? (This is asked so that I can make our work together safe for you).*How do you make room for grief in your life? How do you process your losses?*In what area of your life and with whom do you habitually close your heart and fall into hatred / contempt with? (ie your mother, men, International politics etc)*When did you first feel ostracism or hurt from women or 'sisterhood'? What could be reasons for you not feeling safe with other women?*How is your soul life nourished and supported within your (intimate / marriage) relationship? If you are in a partnership is it where you wish it could be? What are your habitual projections or bad behaviours with your partner (ie where do you lose your shiz?)*What do you currently most fear? How do you process your fears/work through them?*Please describe your spiritual journey and current spiritual practice or share what currently feeds your soul.*How do you deepen your relationship with yourself? How well do you like yourself on the inside as well as who you are to others?*Are you able to accept 100% responsibility for your life, including all your choices and the areas where life seems unfair or out of your control?*What do you most wish for in your world / life? Who do you wish to be and how do you wish to be different /more of after this 13 month MotherQuest?*Is there anything that you want me to know, so I can support you best during your participation in this program?*How did you hear about Dancing in the Shadowlands? If it was a friend(s) please name them so I can show my appreciation. xx* Which program are you or have you enrolled in?* MotherQuest : Journey Woman Training MotherQuest : Awakening to Sacred | Online MotherQuest : Dancing in the ShadowLands Ancestressy Homecoming Would you like to join our mailing list?* Yes. Please sign me up. I'm already signed in. No thanks, I'll just stick with MotherQuest PhoneThis field is for validation purposes and should be left unchanged.