The Alignment Insight Tool | Growth-Led Leaders

Welcome to the Application for It Ends With Us

November 2–5 | Zensi Retreat, Mudgee NSW

This is a high-impact, exclusive small-group retreat designed to help you end the cycles that no longer serve you - emotionally, somatically, and spiritually.

We’ll move through deep process work, breathwork, parts work, grief, embodiment, a homecoming. A movement.

This form helps us ensure this experience is the right fit for you, and that you’ll be well-supported throughout.

If your body knows, you know. Let’s begin.

First up, what is your name?(Required)

First Last

What calls you to It Ends With Us right now?

What are you hoping to let go of, end, or transform through this retreat?

How often do you feel overwhelmed by your emotions?(Required)

Feels like all the time

I often feel overwhelmed

I sometimes feel overwhelmed

I rarely feel overwhelmed

I can fully manage any heightened emotions within reason

Can you describe a recent situation where you managed your emotions effectively?

Are you able to recognise physical sensations related to stress or anxiety in your body? (muscle tension, temperature, posture, movement, discomfort, energy, expression, breath, heart rate, etc)(Required)

Never

Rarely

Sometimes

Often

Always

How often do you engage in practices that promote body awareness (e.g., yoga, body scanning, meditation, breathwork)?(Required)

Never

Rarely

Sometimes

Often

Always

Thoughts:

Do you engage in a consistent self-care routine? If so, what does it include?(Required)

Never

Rarely

Sometimes

Often

Always

Thoughts:

What strategies do you use to cope with stress or emotional challenges? (Exercise, connection, soothing, grounding, mindfulness, meditation, hobbys)

What coping mechanisms do you use that you feel are unhealthy or ineffective? (Addictions, food, unhealthy relationships, risk-taking, avodiance, self-harm, rage)

I engage in more healthy coping mechanims that unhelathy mechanisms?(Required)

Never

Rarely

Sometimes

Often

Always

Do you have a reliable support network of friends, family, or professionals?(Required)

I can not rely on anyone

Rarely

Sometimes

Often

I always have people I can rely on

How comfortable do you feel reaching out for support when needed?(Required)

Never

Rarely

Sometimes

Often

Always

Are you currently accessing any external resources for support (e.g., therapy, support groups)?(Required)

Never

Rarely

Sometimes

Often

Always

Thoughts:

How ready and willing are you to do the work, knowing that addressing some traumas is part of this process?(Required)

Never

Rarely

Sometimes

Often

Always

How familiar are you with the concept of the nervous system's role in trauma?(Required)

Not familiar at all

I am not really sure of the links

I no a little I guess

I am quite familiar

I have a very good understanding

What’s your experience in group containers?(Required)

I’ve never participated in a group like this and feel nervous about it

I’ve been in one or two group settings, but I often hold back or find it difficult

I’ve had some group experience and I’m learning to stay present and open

I feel mostly confident in group spaces and can hold my own emotional process

I’m deeply comfortable and experienced in group work and welcome the intensity

Are you open to sharing in a group setting (within your own window of comfort)?(Required)

Yes

Can you attend the full retreat, Nov 2–5?(Required)

Yes

Are you able to make a $500 deposit to secure your spot if accepted?(Required)

Yes

Are you able to make a $500 deposit to secure your spot if accepted?(Required)

Yes

Are you aware that this is a high-impact retreat?(Required)

Yes, I understand and feel ready for this level of work

I’m unsure and would like to talk more before committing

I wasn’t aware and would like to understand more first

This experience may bring up strong emotional responses. While it’s supportive and held with care, it is designed to go deep.