LoveNash - Online Coaching Form

Full Name*

First NameLast Name
E-mail*
example@example.com
WhatsApp Number
Format: (000) 000-0000.
✨ Your Dreams & Challenges
1. What made you interested in mindset & manifesting coaching?*
2. What is your biggest goal or dream you’d love to bring to life in the next 6–12 months?*
3. What’s the #1 obstacle holding you back right now?*
✨ Your Commitment & Fit
4. Have you worked with a coach before? If yes, what worked and what didn’t?*
5. Why is NOW the right time for you to invest in yourself and make a change?*
6. Are you open to investing time, energy, and financial resources in coaching if it’s the right fit?*
Yes, I’m ready to invest in myself nowNot sure yetNo, I’m not able to invest at this time
✨ Thank you so much for your honesty.
At this time, my 1:1 coaching is best suited for those who are ready and able to invest financially in their growth. I’d love to stay connected — keep an eye out for my free resources, workshops, and group programs when they open up!
8. On a scale of 1–10, how committed are you to doing the inner work to reach your goals?

1

2

3

4

5

6

7

8

9

10

1 is Worst, 10 is Best
✨ Practical Scheduling
9. Please share 2–3 dates/times in the next 7-14 days that work best for you.*
10. Your Country*
(Example: USA, EST | South Africa, SAST | Dubai, GST)
11. Your Time Zone*
(Example: USA, EST | South Africa, SAST | Dubai, GST)
I agree
Should be Empty:

✨ Your Dreams & Challenges