Exhale — Breathwork Intake

01The Basics

Who you are and how to reach you.

First name

Last name

Email address

Phone (optional)

Where are you based?

How did you hear about this?

02Your Body

Breathwork changes heart rate, blood pressure, and CO2 levels fast. This is how I keep the session safe for you — answer honestly, not modestly.

Do any of these apply to you right now? (select all that apply)

Any medication affecting your heart, blood pressure, or nervous system? (optional)

What it is and what it's for. Leave blank if none.

How do you breathe most of the day?

Any injuries or limitations I should know about? (optional)

Lying down, deep breathing, certain positions — anything that could get in the way.

How would you describe your body's energy right now?

03Your Inner Weather

The physiology matters, but so does what's underneath it. This is where the real work starts.

What's bringing you to breathwork right now?

How would you describe your nervous system most days?

Have you done breathwork or somatic work before?

Have you ever had a panic attack or felt overwhelmed during an intense physical or breathing practice?

How comfortable are you with emotion moving through you during a session? (crying, shaking, sound)

Anything going on in your life right now you'd like me to know before we begin? (optional)

What would you like to create space for through this practice?

04Before We Begin

A few logistics, then we're done.

Preferred format

Where are you in your readiness?

If something comes up emotionally mid-session, what kind of support helps most?

Anything else you want me to know? (optional)

This goes straight to Gabe, not a database, not a mailing list. Expect a personal response within 48 hours.

A few required fields still need answers — first name, last name, email, and the two open questions in Part 03.

“The exhale is where the shift happens.”

Gabe Snow · Breathwork Coach