Work 1:1 with Alexandra
Welcome! This form is a gentle invitation for both of us to explore whether we’re a good fit for working together 1:1. Please take your time—there are no perfect answers, only honest ones. Everything you share will be kept completely confidential. I’ll carefully review your responses and get back to you within 48 hours. // Alexandra ✨
Name
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First Name
Last Name
Email
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example@example.com
Instagram Username
Location & Time Zone
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1. On a scale of 1-5, how satisfied and aligned do you feel with your current life overall?
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1 - Not at all
2 - Barely
3 - Somewhat
4 - Mostly
5 - Deeply aligned
2. What feels most off or heavy in your life right now?
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3. Which of the following are you currently experiencing? (Select all that apply)
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I wake up already tired, stressed, or dreading the day
I feel numb or disconnected, even though life looks “good” on paper
I push through everything but break down in private
I overthink everything and struggle to trust myself
I feel resentful but don’t know how to set boundaries without guilt
I’m the strong one for everyone else, but I’m quietly falling apart
I crave more meaning, clarity, or inner peace
I’ve tried journaling, therapy, self-help books, and podcasts—but still feel stuck
I feel torn between slowing down and fearing I’ll fall behind
I fantasise about escaping my current life just to breathe
4. What do you deeply want to feel or experience? (e.g. peace, freedom, confidence, connection, peace of mind…)
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Think about anything you’re craving more of—freedom, peace, clarity, purpose, alignment—and why it matters to you at this moment.
5. Have you tried other forms of support before? (therapy, coaching, etc.) What has worked well? What hasn't?
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Your past experiences are valuable and help me support you in the best possible way.
6. Which kinds of support do you feel would serve you most right now? (Select all that apply)
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Holding space for me to be seen and heard without judgment
Helping me set gentle but clear boundaries with myself and others
Offering practical tools to manage overwhelm and burnout
Guiding me to reconnect with what really matters inside me
Encouraging me to take the next right step, even when it feels hard
Giving me space to reflect and grow at my own pace
Helping me rebuild my energy and confidence from the inside out
Supporting me to say “yes” to myself without guilt
Other
7. What kind of support feels most aligned with how you want to grow right now? (Select all that resonate — this helps me understand what will serve you best)
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I thrive with regular live 1:1 sessions and close support — I’m ready for deep, consistent transformation
I want a mix of live calls and space to integrate — support that respects my rhythm
I prefer more self-led work with 1:1 sessions when needed — flexible and focused
I’m curious to get started, but not ready for a high level of live support yet
8. On a scale from 1—5, how ready are you to invest your time, energy, and focus into your personal development and overall wellbeing?
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5 - Fully ready and committed – I'm fully ready to invest in myself and show up for this process.
4 - Almost there – I know I want and need this and just need a little push.
3 - Curious and exploring – I’m somewhere in the middle—open to support but not fully committed.
2 - Open but hesitant – I want change, but I'm holding back because of fear and self-doubt.
1 - Not ready right now – I'm feeling unsure, overwhelmed, or not in a place to commit yet.
9. To help me tailor the best support, please select your budget range and preferred payment option:
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500–1 000€
1 000–1 500€
1 500–2 000€+
2 000€+
I'm not sure, but I'm open to exploring options
10. Is there anything else you’d like me to know?
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Your past experiences are valuable and help me support you in the best possible way.
Please verify that you are human
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