1:1 Application Form

1:1 Coaching Application
Looking forward to working with you!

Please complete this form, and I will get back to you within 24 hours of submission:
Hey! I am Nadine! What's your name?*

First NameLast Name
My pronouns are She/ Hers. What are yours?*
Email*
example@example.com
What is your Instagram handle? If you have a Website URL, please share it here too!*
How did you hear about me/my business?*
Tell me briefly about where you are at? Where do you feel stuck? What beliefs, patterns, behaviors do you desire to change?*
Tell me about your growth and healing journey, what have you invested time and money in so far? (Courses, Books, Podcast, Coaches, Therapy, etc) What worked and what didn’t?*
What outcome/s are you mostly interested in achieving if you were to enrol to work with me?*
Which payment options are you interested in?*

Pay in Full $3,000 for 3 Month 1:1 Coaching. This includes 9 sessions.Payment Plan: $1,000 x3 monthly payments. This includes 9 sessions.
Please verify that you are human*
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1:1 Coaching Application