Women's Spring Sacred Sexuality Program 90 Day Immersion Application
All responses are 100% confidential. Completing this application is required to complete your booking. This form must be submitted prior to your intake call.
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
What is your favorite body of water?
Lake
Ocean
River
List 3 words that describe your favorite body of water:
What are your biggest challenges when it comes to the sex and intimacy in your relationship? (all responses are kept confidential)
Please describe your history with this challenge. What obstacles have been in the way of resolving it?
What programs, products, services or other solutions have you tried in order to solve this challenge and what have your results been?
Describe in detail how you have overcome a major challenge in your life. What was required of you emotionally, mentally, physically, spiritually? How did you overcome resistance? How did you succeed?
When it comes to investing my financial resources to restore my relationship with sex, pleasure and intimacy....
I have the financial resources to invest in a solution
I can free up or have access to financial resources to invest in a solution.
I don't have any financial resources to invest in a solution
If someone offered me the opportunity to invest in a high value program that could empower me to overcome my challenges in sex and intimacy I would
Understand that is what someone would do if they were serious about getting help and making changes.
Feel hesitant at first but with a proven process I would do it because I am serious about making changes.
Avoid it at all costs because I prefer to do things on my own and as cheaply as possible.
If you are invited to join my women's mentoring program during our call, will you need to consult your spouse or partner prior to enrolling?
If you had a fairy godmother who could sprinkle fairy dust over your life, describe in detail the biggest changes you would like to see happen
Why do you think you would be a good fit to work with me?
Is there anything else you would like me to know?
Please arrange for a quiet, private space for us to chat! Calls will be conducted by Zoom video conference unless you specifically request otherwise.
Yes! I will have a full 30-45 minutes undisturbed for our Zoom call
Once you hit SUBMIT you will be redirected to my booking page to schedule your intake call. Make sure that any pop-up blockers are turned OFF on your browser or you won't be redirected to the booking page.
Got it! My browser pop-up blockers are turned OFF
WE WILL MEET ON ZOOM AT THE TIME YOU CHOOSE. PLEASE COMMIT TO YOUR APPOINTMENT BY TYPING THIS PHRASE IN THE BOX BELOW: "YES I PROMISE I WILL ANSWER THE PHONE WHEN MY COACH CALLS."
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