1:1 Coaching Membership Application
To apply for membership please complete all questions.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Check all that you would like help with
*
Ascension Symptoms
Emotional Triggers
Relationship Advice
Breaking Karmic Cycles
Following Intuition
Recognizing Signs From Spirit
Connecting With Spirit Guides
Overcoming Fears & Emotional Blockages
Manifesting
Spiritual Protection
Balancing Masculine & Feminine Energies
Meditation
What brings you to apply for coaching?
*
What are three major things that you've been struggling with?
*
Have you been experiencing any emotional blocks recently?
*
Yes
No
Sometimes
I'm not sure what that means
What areas of your life do you feel this affects you the most?
*
How dedicated are you to your spiritual healing?
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Are you aware that coaching is not a substitute for therapy, diagnosis, or treatment of mental health conditions?
*
Yes
No
Apply for Membership
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