Naked Dandelion Application

Naked Dandelion Application

Please answer the following questions with as much detail as you are able. Your responses are kept confidential and are intended to enhance your experience.

Name

First Name

Last Name

Date of Birth

Please include Month, Date, and Year. This is to confirm that you are 18 years of age or older.

Email

Phone

(###)

###

####

What is your mailing address?

Kerry may send you a handwritten card or a gift in the mail. If you’re a yes to receiving mail correspondences, please share your address below. If you are a no to this, please type “N/A”.

What called you to join this journey with Dandelion?

Do you already have a relationship with Dandelion or experience working in sacred communion with plants or fungi?

You are not required to have prior experience, but understanding your connection will help guide you.

What main limitations, obstacles, or edges are you currently experiencing in your life and/or relationships?

What is your current relationship with your body?

How do you feel in it? Where do you struggle and where do you feel free? Are you currently dealing with any physical or emotional sensations, or dis-ease in your body?

What thoughts and feelings are present for you in experiencing nudity as medicine?

How do you want to feel at the end of Naked Dandelion?

What do you desire to shift, reclaim, or open into? What three shifts are you most yearning to create in your life and/or relationships as a result of your work in this experience? How do you envision yourself one year from now?

What kind of support do you need to feel safe and held in this experience?

Every woman enters with her own edges—this helps me hold you in your fullest unfolding.

MENSTRUATION: Where are you in your menstrual journey and what what is your current relationship like with your cycle?

Please share any relevant information as it relates to your current menstrual journey - regardless if you still bleed or not.

TRAUMA HISTORY: Please share any past or current traumas and/or mental health issues that you've experienced in your life.

Please note that this question will support Kerry in holding space for you.

Do you have any medical conditions, have you undergone any surgeries, or had any body parts or organs removed?

This question is helpful when it comes to working with Dandelion and knowing the importance of dosage when ingesting her.

Are you currently taking any medication or supplements?

Please share ALL medications and supplements you are taking and please share which ones you plan to be taking during the experience. Please note any birth control.

Are you pregnant, trying to conceive, postpartum, or breastfeeding?

Are you committed to taking responsibility for your personal experience and what it reveals for you, and are you willing to fully show up for this live, immersive journey?

Yes I am!

No, I am unable to do so.

How did you learn about Kerry?

Is there anything else you would like Kerry to know about you?