Coaching Application

Coaching Application

Welcome! Below are some questions to see if we are the right fit for each other. All answers are completely confidential. Please answer to the best of your ability and I will get back to you within 24 hours (weekdays)
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Date Of Birth*
Instagram Handle*
What has inspired you to work with me? *
What is the biggest challenge you are currently facing in your life?
What would you like to heal or transform? *
How would you describe your relationship with your feminine energy right now? *
In what areas of your life do you feel blocked or disconnected from your feminine?*
Have you experienced any Trauma that is related to your desire for healing & growth? You don't have to give full details, but the more you share will be able to help me determine if I am the right fit for you. *
Have you experienced any personal or spiritual growth work, therapy or coaching before? If yes, what was that experience like for you?*
What does being an empowered woman look like to you?*
What are your top 3 desires or goals you hope to achieve by the end of the program?*
What is your current level of commitment to your personal growth and transformation?*
Fortnightly coaching calls are usually on Thursdays between 9-5. Can you commit to this timeframe? If not, what is your availability?*
What are your current spiritual or self-devotion practices, if any?*
How do you currently show up in your life & relationships? Do you feel you’re fully expressing yourself?*
Is there anything else you would like me to know to better understand your needs and intentions?*
There is a financial, time & energy investment for this program- are you in the position to make that investment into yourself?*

YesNo
Which container option would you like?*

1 off session $3333 months $40006 months $6000
Would you like to pay in full or payment plan? (payment link will be sent separately)*

Pay in fullPayment plan
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