Life Coaching Application | Parisa Moayedi, DIVINE CHAPTERS LLC

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Hello Beautiful!

Welcome to my exclusive coaching program application process.

My overall mission is to help women who have experienced major adversity and pain reinvent their lives using my signature emPOWER Method. Showing you invaluable approaches for your next chapter in life!

Ultimately teaching you how to heal yourself.

Once you apply, I will review your application to see if we are a good fit. I review applications every 48-72 hours, if I feel you are a good fit, I will contact you by email (parisa@divinechapters.com) so we can schedule a video call.

It is an honor to guide and assist you on your journey. Looking forward to speak with you soon!

*Private sessions and all coaching programs are by application only.

With All My Love,
Parisa 𓂀
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Which service(s) are you interested in: (you can choose more than one)* This field is required.
Private 1:1 Single Session (90 min)
4 Month Private 1:1 Coaching Program
6 Month Private 1:1 Coaching Program
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Email* This field is required.
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Full Name* This field is required.
First Name
Last Name
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Age* This field is required.
years
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What's your instagram handle?* This field is required.
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What are your main concerns?* This field is required.
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List the top 4 blocks that are preventing you from living the life you desire? * This field is required.
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How often do you dedicate "me" time aka "self care" into your daily schedule?* This field is required.
Rarely
A few times a week
A few times a month
Everyday
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What would you like to achieve as a result of working with me?* This field is required.
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Initial* This field is required.
Clear
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1.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT All the information on this form is correct and to the best of my knowledge. I understand that all the information given will be kept confidential.

2.) Divine Chapters LLC provides intuitive personal development, energywork, information and life coaching services. Parisa Moayedi is not a medical doctor, psychotherapist, psychiatrist, or any other kind of medical or mental health practitioner. She does not diagnose, prescribe, or treat. Do not delay in seeking medical advice, nor disregard any medical advice you have been given, because of any intuitive information received from Parisa. If you are depressed or struggling with serious mental issues, you should seek professional help immediately. Parisa is not a legal or financial advisor. You are legally responsible for your own actions and decisions. Remember that we all have free will to choose what is best for each of us as individuals.
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I AGREE TO THE ABOVE TERMS & CONDITIONS!* This field is required.
Yes
No
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