Bloom Deep Embodiment 1:1 Coaching Application Form

Hey beautiful human,

Before you put your time and energy into filling this baby out, let me be direct.

This is your chance to be authentic and honest. In a 1:1 journey with me, there's no room for playing small. You'll need to face what's holding you back and go all in, and that's not for everyone.

This decision should resonate deeply with your body, mind, and soul.

It creates huge shifts and fast, I want to ensure you're ready for that.

This isn't for you if-

You're not ready to go all in, and I mean ALL in with me.

You aren't ready to invest in yourself.

You don't respect and value others time, energy and boundaries.

You aren't wanting to build your self awareness and emotional intelligence.

You're not ready to upgrade your mindset.

You aren't ready to have your sense of self challenged and expanded.

You're not committed to get honest, deep and intimate AF with me.

You don't have a desire for growth, healing and expansion.

You're not wanting to dive deep into your unconscious mind and break repeated patterns and behaviours.

What you can expect from me-

To be deeply held, supported and heard as you step more into your power.

I will not waste our energy and time trying to make things easier for you to swallow, I will be straight and direct, with love.

A super safe, non judgemental, and empowering space.

To encourage you to take radical responsibility for your life and healing.

To empower you with strategies to build a resilient and strong mindset.

To not let you play small or let you marinate in your own BS.

To not coddle you. I'm here for your expansion and will call you to your highest self.

To love, guide and support you FORWARD.

If you've read all that and its a "F**K YES", fill out the below

The most successful coach-client relationships are those that establish a genuine human connection, which is why I've implemented an application process. My aim is to create a meaningful connection with my clients, and for them to likewise connect with me. So, please, share your true self. I'm eager to understand who you are.

If your application is accepted, you will receive an email from me, and we will schedule a free 20 minute compatibility call to further explore our potential partnership.

Name

First NameLast Name

Email

example@example.com

Phone Number

Area CodePhone Number

Tell me a bit about you

Have you done coaching, therapy, or personal development before? If yes, what have you done?

What do you feel is holding you back right now?

How is this affecting you and showing up in your life?

Why is now the time you feel you want to invest in yourself?

What made you want to work with me?

What specifically (if applicable) do you want to get out of working with me?

Are you in a position right now to invest in yourself?

Have we connected before? What is your instagram?

If we vibe on our compatibility call, how soon would you like to start?

Preferred Date & Time for your Free Compatibility Call

Which option are you most interested in? (Prices are in AUD and PIF)

Other

*If you're not sure if coaching is right for you, this is a great option to get a taster of what to expect and the possibilities of what could be. A one off call is also a great option for those well versed in personal development but would like a 'quick fix' for what is most urgent for you right now, or would like clarity around those blind spots that have you stuck, or perhaps you need support in getting clear on your goals and how to pave the way to them.

Full transparency, my prices are reflective of what I can offer you, and will increase as I continue to expand my energy, knowledge, and modality certifications, to match the juice that I bring to our container. (Payment plans are available and prices are in AUD)
All packages include Telegram support in between our 6o minute sessions, as well as homework materials, additional support items and a tailored coaching plan specific to your goals. You will be deeply supported throughout our time together.