Enquiry Form
Please answer questions as fully as possible. Any information you provide will remain strictly private & confidential.
Full Name
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Email Address
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Which service are you interested in exploring?
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Coaching Programme
Get Started Package
Both
What do you desire most in life? What does a good life look like? What does your heart long for?
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Which of the following do you regularly experience?
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Feeling stressed out
Feeling anxious / worried
Less than amazing sleep
Sub-optimal brain function (eg foggy head, memory or concentration issues)
Unpleasant emotions like sadness, shame, helplessness, anger, vulnerability, embarrassment, disappointment, or frustration
Impatience / short fuse
Low physical energy
Feeling mentally / emotionally drained
Overwhelm or lack of emotional bandwidth
Behaviours / habits which don't serve you
Low confidence, being self critical or not feeling good enough
Worrying about or being held back by what others think (or may think)
A sense of emptiness, loneliness, disconnection, or that something is missing in your heart.
Seeking external things to make you feel good, or over consuming e.g shopping, social media, food, alcohol, exercise, work
Gastro-intestinal related issues eg heartburn, acid reflux, constipation/loose stools
Other
How is this affecting you and your life, and holding you back from 100% awesomeness?
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If you could get to a point where none of the above boxes are checked, what would life look like? What would you be able to achieve?
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