Private Coaching with Fleur - Application Form

Please fill out this form carefully.

All spots are limited, and Fleur meticulously reviews each application to ensure a beneficial experience for both parties. Successful applicants will receive a confirmation email with further details on how to proceed.

For more information please go to: fleurleussink.com/private-coaching

Student Name

First NameLast Name

Birth Date

MonthDayYear

Provide the best email to reach you

example@example.com

Phone Number (include country code)

Area CodePhone Number

Which time zone are you in?

Country of Residency

Have you taken any of the following courses or programs with Fleur? (This will not impact eligibility for the private coaching)

I consider to be:

Have you participated/attended/taken any spiritual courses previously? If yes, please provide details about the courses and when you took them.

Have you participated/attended/taken any self-development courses? If yes, please provide details about the courses and when you took them.

How much time have you dedicated to your self-development journey?

Please provide a brief paragraph describing your motivations for embarking on your spiritual and self-development journey, why this moment feels significant to you, your reasons for applying, and the specific areas of self-development you wish to focus on.

Private Coaching Price & Payment Details
The full price for the 8-week private coaching with Fleur is $7,800.

After you submit your application, we will send you an email with more details to start to prepare your journey. Please make sure to check your spam!

Apply for Private Coaching with Fleur