PLEASE NOTE
I offer both 3-month mentorship, 90-minute intensives, and group training. By filling out this application form, you will be put on a waitlist and I will get back to you as soon as possible in order to set up a consultation call to move forward with your application process.
3-Month Guidance
Work exclusively with me for 3 months and have a mentor on your side who will help reset your beliefs and release the negativity that holds you back from true success and happiness. This offer includes weekly sessions and ongoing support. I only work with a few select clients at a time, so an application process is mandatory and admission is not guaranteed.
90-Minute Intensives
Don't need 3 months of mentorship but are in need of some extra healing or guidance? Work with me for 90 minutes to remove blockages and baggage that no longer serve you. The price of these depends on the type of session you require. In order to be upfront about your required investment, most sessions cost between $200-$600 CAD.
Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
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Please enter a valid phone number.
Age
*
Occupation
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Instagram Handle
What are you currently struggling with?
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A negative mindset that stops you from moving forward with a goal or vision
Feeling stuck in a job, relationship, or business
Struggling with anxiety and/or depression
Lacking energy and feeling burnt out
Feeling lost in life and in need of a roadmap and structure to live a well-balanced life
On a scale of 1-10 (1 being depressed, 10 feeling like an absolute rockstar) how happy are you?
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If I had all of the time and money in the world, I would be ________.
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What are your top 3 self-development and/or self-care rituals?
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Example: meditation, prayer, taking a hot bath, etc.,
Do you have any sort of spiritual or religious practices?
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Yes
No
Do you have any trouble with connecting to yourself and your life's purpose?
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Yes
No
What 3 goals are you currently working for this year?
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Can be personal or professional.
What are the top 3 things do you perceive to be getting in your way of being happy or accomplishing your desires?
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Have you experienced any energy healing sessions before?
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Yes
No
Are you interested in experiencing energy healing in order to assist in removing blockages from your life so that you can live better?
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Yes
No
I'm not sure
Is there anything else you'd like me to know about you before I contact you?
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How did you hear about me?
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Please Select
Instagram
Facebook
Referral
My website
Other
Why do you want to work with me?
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What services are you interested in?
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3-Month Guidance Program
90-Minute Intensive
Empower Thyself
Meditations and/or Classes
I need more guidance on which option is best for me
I want to be transparent with you by letting you know that working with me requires both a time and financial commitment to yourself and to the process. Are you in the right financial situation to invest?
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Yes, I can pay in full
Yes, I require a payment plan
I am not ready to invest at this time
Submit
I'm excited to make you my next success story!
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