YOUR ADMISSION · VOLUNTARY & PERSONAL

Help us understand where you are.

Allow around 15–20 minutes, depending on how much you want to share. Only your name, email and final confirmations are required. Leave questions blank and discuss them personally. No automated eligibility decision, contract or payment.

SHIVA SHIFT offers non-clinical coaching, support through personal change and self-exploration. It is not medical or psychotherapeutic treatment and does not replace assessment or necessary therapy. Individual outcomes are not guaranteed. Scope in detail

1 · Contact & introductionYour nameEmailPhone (only for a requested callback)How would you like to be contacted?First preferred time with timezone (not confirmed)Alternative preferred time (optional)

2 · Life as a fatherWhat describes your current situation?How many children, and which age groups? Please do not include names.How is care / contact currently organised? No names or private details about others.What is on your mind most right now?

3 · Goals, strength & responsibilityWhat interests you?What would you like to change in daily life?Where would you like more grounding, agency or connection?Which next step are you willing to take yourself?

4 · Experience & learningExperience with yoga, breathing practices or meditation?What movement or body practice feels useful to you?Experience with men’s work, groups or father circles?Coaching or seminar experience: what helped and what did not?

5 · Practical fitDo Tue/Thu 19:00 Berlin (five hours in total) and an additional Monday circle fit? Where do you need flexibility?Preferred languageWhich practical adjustments would help you participate? No diagnosis needed.How do you feel about plant-based eating as a voluntary practice suggestion?

6 · Health & safety – optional

Only share what is relevant to safe participation. No diagnosis lists, medication names or doses, trauma narratives or details of substance experiences. Discuss everything personally if you prefer. Coaching does not replace therapy, addiction treatment or withdrawal care. Sober participation is expected; this is not a request to stop medication or manage withdrawal yourself.

I explicitly consent to my optional health details below being stored encrypted and reviewed by Sashiva solely to assess and adapt my participation personally. I can withdraw consent for the future and request deletion. I can still make contact without these details.

7 · Finish & your decisionWhat questions would you like answered before deciding?I am at least 18 years old.I have answered honestly to the best of my knowledge. I will discuss open questions personally; this is not a liability waiver.I have read the privacy information and would like a personal reply to my enquiry.

Retention: general enquiries up to 30 days, admission details up to 90 days, then deletion. This form is not saved in your browser. Request earlier deletion or withdraw consent at guru@quantentunnel.de. Do not include information about others.

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