Please take a few minutes now to complete your

Discovery Session Sign-up Questionnaire

Hey There! Please complete this pre-qualification & sign-up questionnaire to see if it's a good fit for both of us to potentially work together at this time and, if so, to give me some helpful information in advance—so you can get the most out of our session.

Warmly, Dylan

PS - Please complete this form in one sitting, so as not to lose what you write. Shorter answers are FINE, and so are medium-length ones. No need to get stuck on filling this out! :-)

Name(Required)

First Last

Email(Required)

Please Note: All your responses will be kept strictly confidential.

What is/are your main current occupation(s) roles, and/or activities?
(i.e whatever activities occupy most of your waking hours, during the week...)

Please briefly describe your current “less than desirable” experiences (of stress, overwhelm, disappointment, disconnection etc.), and how they're impacting your life.(Required)

What have you tried so far to help you resolve these issues, and how did it work?(Required)
(You can keep this part relatively brief, for now)

What do you experience as the 1-3 biggest obstacles to freeing yourself from these current patterns & challenges, and more fully thriving?(Required)
(In other words: What seem to be your greatest hindrances to making more progress?)

Imagine your underlying, embodied patterns of limiting conditioning were to significantly shift for you, over the coming 3-4 months… What aspects or areas of your life might change, and in which ways?(Required)
(In other words: What would you most LIKE to be doing & experiencing in your life, in the coming period?)

If we agree this is a great fit, from both our sides, when would you ideally like to get started?(Required)

I'm scheduling this session for 'Demo Recording' purposes, but I'm also interested in perhaps working together 1-1

I'm very happy to go through this process, but for 'Demo Recording' purposes only

Immediately, if possible...

I'm not sure. It depends on what happens during the call

I don't plan on getting started with this kind of 1-1 work anytime soon

Which best describes your situation, when it comes to investing in changing your deeper, limiting patterns?(Required)
I have the financial resources to invest in shifting my deeper limiting patterns
I have access to the financial resources to invest in shifting my deeper, limiting patterns
I am currently unable to invest in shifting these limiting patterns, by working with you at this time

If your current level of interest, need, or motivation for doing 1-1 work at this time is not especially high, and/or the possibility of us working together is financially just out of the question for you right now, then I respectfully propose we not do a Discovery Session together in this period. As the director and team-leader of UZAZU, AND as a parent & husband, I need to be very discerning with my time. I hope you understand. :-)

If you have other interests or reasons for wanting to meet with me (about taking a pro/certification trainings, potentially hosting or co-promoting an UZAZU Training, or collaborating in some other way, then you can check the website for more relevant information on that and/or send UZAZU an email at support@uzazu.org, and I or someone on the team will get back to you very soon. I sincerely hope that taking & reflecting on your UZAZU Embodied Intelligence Self-Assessment has been valuable for you. And I look forward to potentially interacting with you at a later time!

You’re on the UZAZU Mailing List now, so we’ll keep in touch that way, and you can always check back with our website for potentially other upcoming opportunities to engage with and benefit from UZAZU that might be a better fit for you at this time.
All the best, and perhaps till later...
Dylan Newcomb

PS: It would confuse our system, in this case, for you to submit this questionnaire/application form—so the Submit button has been deactivated. If you'd like to save what you wrote so far, you can copy-paste your responses above before closing this webpage.

If your current level of interest, need, or motivation for doing 1-1 work at this time is not especially high, and/or the possibility of us working together is financially just out of the question for you right now, then I respectfully propose we not do a Discovery Session together in this period. As the director and team-leader of UZAZU, AND as a parent & husband, I need to be careful with my time. I hope you understand. 🙏

If you have other interests or reasons for wanting to meet with me (about taking a professional training, potentially hosting or co-promoting an UZAZU Training, or collaborating in some other way, then you can check the website for more relevant information on that and/or send me an email at dylan.newcomb@uzazu.org, and I or someone on the team will get back to you very soon.
If you’re on the UZAZU Mailing List, so we’ll keep in touch that way, and you can always check the UZAZU website (www.uzazu.org) for other upcoming opportunities to engage with UZAZU that might be a better fit for you at this time.
All the best, and perhaps till later...
Dylan Newcomb

PS: It would confuse our system, in this case, for you to submit this questionnaire/application form—so the Submit button has been deactivated. If you'd like to save what you wrote so far, you can copy-paste your responses above before closing this webpage.

To help me better understand how I can potentially best help you, I would like to review your (UZAZU-based) Embodied States Self-Assessment results before our Discovery Session, and look at them together as well, during the session. Is this OK with you?(Required)
Yes, I consent to Dylan Newcomb reviewing my UZAZU Embodied Intelligence Assessment results

Is there anything else you'd like me to know, going into this Discovery Session, that I haven't asked you yet?

Wait—You're not done yet! Please complete and submit this questionnaire, after scheduling your Discovery Session.

Lastly, to help be sure and honor everyone’s time, please commit to showing up for your Discovery Session with Dylan on Zoom.(Required)
Yes, I promise to show up on time for my Discovery Session with Dylan

Now just click SUBMIT below, and you're all set!

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Ben MacIssac Musician

More drive and passion...

It's changing how I energetically interact with everything around me. I have more drive. I have more passion. I feel I can be more authentic, and sharing my truth is one of the most gratifying things I have now.

Luna Marendi Gyrotonic Trainer; Body Worker; Co-Active Coach

I have become more focused...

I have become more focused, discerning, and purposeful. I am able to process emotional waves much more deeply and swiftly.

Eric Troth Integral Evolutionary Leader

Often, just talking is not enough...

Often, just talking about our life's concerns, as with many types of coaching or psychotherapy, is simply not enough to create true transformation. The Uzazu approach supports one in more fully feeling into the new possibilities and starting to enact them almost immediately.

Kate Bathras Integrative Life & Leadership Coach

This was GREAT!

This was great! I have been on a path of trying to redesign my life to bring my body, mind and spirit more into alignment and find a mission/purpose/career that feels nourishing to myself and helpful to my community. This really made me understand how the different pieces all work together to either create or disrupt my overall balance and alignment. Thank you!