Form

Private Client Application

A private space to share your story, readiness, and resources — allowing me to determine alignment before accepting new transformations
Private Application

Thank you for your interest in working privately with Marilyn Montero. Due to the personalized nature of this work, applications are carefully reviewed for alignment and readiness before consultations are offered.
Full Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What has brought you to this point, and why is now the time to create change?
Describe what’s been feeling heavy, confusing, or stuck. What’s calling for change?
What pattern, challenge, or area of life feels most important to change right now?
Be specific — whether emotional, relational, financial, or internal.
What would be different in your life if this issue were fully resolved?
How long has this been affecting your life?
What forms of support have you tried previously?
What was helpful, and what still feels unresolved?
Share what has helped, what hasn’t, and what you’ve learned about yourself in the process.
Private transformational work requires an investment of time, emotional energy, and financial resources. Which statement best describes you today?
How committed are you to creating meaningful and lasting change?
What level of support are you interested in exploring if we determine we're an excellent fit?
Is there anything else you’d like me to know before I consider your application?
How ready are you to commit to real, sustained transformation? 1️⃣ Exploring options 2️⃣ Somewhat ready 3️⃣ Ready to do what it takes 4️⃣ Fully committed — I’m done repeating this pattern 5️⃣ Urgent — I want it shifted now

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1 is Low Urgency, 5 is High Urgency
Do you have the resources — time, emotional capacity, and financial readiness — to commit to a 3-month minimum private transformation container?
What would success look and feel like for you after this transformation?
Have you worked with other practitioners (therapy, energy, coaching, etc.)? Yes or No?
I understand that this form serves as a preliminary assessment.Submission does not guarantee acceptance, as each application is personally reviewed to determine energetic and practical alignment.If Marilyn determines that this work is an appropriate fit, I will be personally contacted with next steps to move forward.
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Private Client Application

Private Application