Coaching Application Form
Thank you for your interest in Quantum Abundance Activation — a 4-week energetic immersion for soul-led women ready to align with abundance, confidence, and overflow. This container is sacred, powerful, and designed for women who are truly ready to shift. Please take a few moments to complete this form honestly and from the heart. Your responses will help me understand where you are now, and whether this is the right energetic match for us both.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number (if you'd like to be texted)
Format: (000) 000-0000.
Link Your Social Media Handles Below (Optional)
Link Your Social Media Handles Below (Optional)
Link Your Social Media Handles Below (Optional)
Link Your Social Media Handles Below (Optional)
What led you here? What are you feeling called to shift in your life or money flow right now?
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What does abundance mean to you personally? How would your life look different if you felt fully abundant?
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Have you done any personal development, energy healing, or mindset work before?
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Yes
No
If "Yes" Please share what modalities you've tried and what worked or didn't.
What do you feel is currently blocking you from receiving more money or aligned opportunities?(Be as honest as you can — this helps me tune into the energetic patterns.)
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On a scale of 1–10, how committed are you to creating real change in your energy, mindset, and financial reality right now? (1 = curious but hesitant, 10 = I’m all in, let’s go!)
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1
2
3
4
5
6
7
8
9
10
Why do you feel now is the right time to do this work?What feels different about this moment compared to past attempts or growth spurts?
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How would you love to feel at the end of our 4 weeks together?(Emotionally, financially, energetically, spiritually — speak from your highest vision.)
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Are you ready and willing to invest in yourself at the level this transformation requires?
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Yes - I'm ready for the energetic expansion
I’m open but I’d like to explore payment plans
I’m not financially aligned yet, but I’d love to stay in your world
What would need to happen for this investment to feel like a powerful “yes” for you?(This helps me support you in clearing resistance, not pressure.)
Anything else you'd like to share?Your story, intuition, fears, excitement — I’d love to hear it.
Next Steps:
Once your form is reviewed, I’ll reach out within 48 hours to confirm if this container is the right fit and share next steps. If accepted, you’ll receive a welcome packet, payment info, and your start date. I’m so honored you’re here — this is sacred work, and I’m deeply excited for what’s possible for you.
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