Chels 1:1 application form

1

What best describes where you are currently at* This field is required.

Struggling with self-doubt and feeling not good enough

I keep procrastinating on my goals. I want change but feel scared or stuck to actually start

I feel emotionally flat. Unmotivated, disconnected, lost

2

Name* This field is required.

First Name

Last Name

3

What are your top 3 challenges right now?* This field is required.

4

What are the 3 goals you’re working on right now?* This field is required.eg building confidence, creating healthier habits, starting social media

5

What is your Instagram?* This field is required.so I can reach out to you x