Intake Form

Pre-Nature Therapy Medical + Physical Questionnaire

Location (Vancouver, BC Canada)

Name

First Name

Last Name

Email

Phone Number

(###)

###

####

Date of Session

MM

DD

YYYY

Please list any medical conditions that you are currently diagnosed with (e.g., diabetes, hypertension, allergies, asthma, etc.).*

Are you taking any prescription medications, over-the-counter drugs, or supplements? If so, please list them and indicate the dosage and frequency

Do you have any physical limitations or disabilities that could affect your participation in the nature therapy session (e.g., mobility issues, chronic pain, etc.)

Have you experienced any recent injuries or surgeries that may impact your ability to engage in physical activities during the nature therapy session?

Are there any specific allergies or sensitivities that you have (e.g., to insect bites, certain plants, or environmental allergens) that we should be aware of?

Please disclose if you have a history of heart problems, seizures, fainting, or any other condition that may require immediate medical attention.

Do you have a history of mental health concerns, such as anxiety, depression, or PTSD, which may affect your experience during the nature therapy session?

Are you currently pregnant, planning to become pregnant, or nursing?

Please specify your fitness level (e.g., sedentary, moderate exercise, regular exercise, etc.)

Would you prefer the nature therapy session to be more of a gentle walk or a moderate hike?

Please include any additional information.

Nature as Medicine

Nature is medicinal and both restorative and preventative. The benefits of grounding and spending time in nature:

• reduce stress

• balance the nervous system

• improve mental health

• facilitate breathing

• enhance sleep

• lower inflammation

• support healing from disease and illness

• help sport and other injury recovery

• lessen depression

• improve motivation to exercise

• support healthy mental energy

• stabilise emotional wellness

• boost immune health

• strengthen our inner clarity and vision

Nature further helps to switch off your mind from busy life’s distractions. Connecting our bodies to earth, restores the necessary electromagnetic balance to maintain optimal health and promote healing. Disconnecting from the telephone and electronics allows us to embrace the natural beauty of life. Nature shifts our consciousness to heighten the senses including sight, smell, touch, taste, hearing and our intuitive sixth sense. Connecting to nature helps our bodies draw in the nourishing, grounding and fortifying energy of the earth.

Embodiment in Nature

Embodiment is another form of mindfulness.

When practising embodiment, we energetically connect on a deeper level with the universal energies and our higher self to establish a greater understanding of our most important relationships including the relationship with ourselves and others. Focus on the body and mind influences us to be present in the moment. This restorative practice merges us with the earth’s natural energies, grounding us and helping us to heal past and existing wounds. Grounding and breathing in nature allows us to recognize the endless abundance of love and serenity that surrounds us.

Nature Therapy with Anna

Whilst there is no right or wrong way to connect with nature, Anna is highly intuitive and is supportive when guiding you to establish your intentions and holding the space. Anna’s nature therapy sessions offer meditations, movement practices and other methods that best suit your objectives. Anna takes the time to understand your spiritual, mental and physical needs to support you in connecting to nature and your higher self.

Anna creates a bespoke healing experience, dependent on the client’s fitness level and specific healing needs. Removing stagnant energy and replenishing with light energy to ensure spiritual alignment, requires movement. Anna chooses the specific activities in nature that will benefit the individual, ranging from a longer nature hike, to shorter brisk walks. Movement, meditation, a peaceful walk, whatever the method is that is used to connect, Anna holds the safe space and works with you to provide the most transformative healing experience.

Who Would Benefit From Nature Therapy

Nature therapy is available for sole individuals and groups. Individual nature therapy sessions: working with both youths and adults, Anna offers a customized experience. Whether you are navigating through a major life transition, healing from addictions, seeking stress relief, grieving a loss, or looking to optimize your overall energy, intuition and wellness by adding beneficial leisure time to your lifestyle, each individuals needs will be considered and catered to.

Group nature therapy sessions: working with families, friend groups, couples, youth groups and business teams, experiencing nature therapy as a group is an enjoyable way to have fun and disconnect from the stresses of life, whilst receiving a burst of nature’s healing benefits. Team building experiences are popular amongst business and corporate events and a unique way to strengthen bonds and connections.

Book Your Nature Therapy Session

Intake Form

Thank you! I’ll be in touch.

Nature as Medicine

Embodiment in Nature

Nature Therapy with Anna

Who Would Benefit From Nature Therapy