Let’s work together Name * First Name Last Name Email * Phone (###) ### #### How did you hear about this? (e.g., Instagram, therapy site, friend) What’s your main reason for applying to the Atlas beta? (Open text: 1–3 sentences) What kind of experience are you looking for? Mini Map (60‑75m + 3–5 page summary) Core Atlas Deep Dive (90m + 8–15 page Atlas + integration) Relationship Map (couple/triad) Unsure—I’m open Have you done therapy, coaching, or any self-discovery work before? * What are you most hoping to gain from this experience? (E.g. clarity, self-trust, pattern awareness — 1–3 sentences) Are you open to providing feedback afterward in the form of a survey, testimonial, or brief chat? Yes Maybe Not sure Anything else you want me to know right now? Thank you!