90 Day TRANSFORM Series Application
Apply to join the 90 Day Nervous System & Self Awareness Transformation Series. Share your readiness, commitment, and motivation for change. Past clients have mended familial relationships, create healthy boundaries, take more action with clarity, detach from longterm relationships/divorce. Whatever you're experiencing this is the start to your next big shift. We can't wait to discuss a potential partnership through your transformational journey and will be in touch within 48 hours of application submission.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Are you able and willing to complete the module work each week?
*
Yes
No
Unsure
Are you committed to meditating as part of this program?
*
Yes
No
Unsure
Are you able to listen to the recommended frequencies as part of the program?
*
Yes
No
Unsure
Are you able to show up to at least one group coaching call per week?
*
Yes
No
Unsure
Why do you desire change and transformation in your life?
*
Please rate the following four pillars in your life from 0 (lowest) to 10 (highest):
*
Physical Wellbeing
Emotional Wellbeing
Mental Wellbeing
Spiritual Wellbeing
Your Current Rating
What is your experience with self-awareness practices (e.g., meditation, journaling, mindfulness)?
*
Have you done shadow work before? Please share your experience.
*
Have you done inner child work before? Please share your experience.
*
Type a question
Book your 10 minute "TRANSFORM" Series CONSULT Call
Submit Application
Submit Application
Should be Empty: