Anna Lewczuk's Site

Name and surname *

Email address *

I identify as... (please tick) *

Female

Male

Other

Age *

Have you used 1-on-1 support of any of the below before? Please tick applicable. *

Coach

Energy healer / shaman

Psychotherapist

Psychologist

Spiritual teacher or mentor

Are you familiar with, or have experienced, altered states of consciousness? Please tick what applies *

vivid night-time dreams

lucid dreaming

psychedelic experiences

hypnosis

holotropic breathwork

deep meditations

out-of-body experiences (spontaneous or planned)

remote viewing

channeling

I am not familiar with any of the above.

While our group sessions will be recorded, it is recommended to attend them live.

Most sessions will last up to 1 - 1,5hrs. A couple of them (breath-work and embodiment) will be around 2 - 2,5hrs long.

Please indicate below the times/dates you will be able to attend sessions during the 7 weeks of our work together.

Are you able to attend regular sessions on Thursdays between 10am and 1pm in Central European Time? *

Yes

No

I will make it work, if necessary

Are you able to attend sessions on Thursdays between 2pm and 5pm in Central European Time? *

Yes

No

I will make it work, if necessary

Are you able to attend sessions on Thursdays between 6pm and 9pm Central European Time? *

Yes

No

I will make it work, if neccessary

In case you cannot attend breath-work / embodiment sessions on Thursdays, will Saturdays between 12pm and 6pm CET work for you? *

Yes

No

I will make it work, if neccessary

Where did you hear about this programme? *

Instagram

Facebook

Newsletter

Website

Friend

Participation in the programme requires your readiness for inner work (supported by the resources shared and by our interaction within this group container, also on WhatsApp). The aim of this group work is to build mutual respect and accountability. Are you ready to commit to this? *

More details on the Programme will be sent to your email address. Emails may land in "spam" or "promotions" so please ensure LewczukAnna@gmail.com is added to your primary addresses.

*

Thank you for completing this form. Please make sure that you click "Submit" below. Once done, you'll be redirected to my calendar to book a call with me. * Use the call before the programme commences or during its course to get my support and guidance addressing your specific needs. Please indicate in the booking form that you're interested in the group programme.

Group Programme Registration Form

Group Programme Registration Form