Wellness + Empowerment Coaching Application

Hey, darling.

I am beyond stoked that you are ready to leave all those old, unhealthy habits and patterns behind and start nourishing your Soul, and your life. Wanna know what that means? That you're committed, and that you're ready. And guess what? SO AM I.

I can't wait to collaborate with you in living your best life. Let's fucking do this, shall we?? **

Name

First Name

Last Name

Email Address

Which program are you applying for?

How did you hear about me?

Tell me a bit about yourself! Family, job, hobbies, anything! :)

What excites you about receiving coaching? What makes you want to be coached at this time in your life?

What do you hope to learn/gain from being coached/having a coach?

What is your biggest struggle/challenge at the moment?

On a scale of 1-10 , how committed are you to making the necessary changes to creating lasting health and happiness? (1=not even close, 10=all fucking in)?

Imagine we came to the exact solution during our call that you were looking for. Which option below fits you best?

** Applying does not obligate you to join my coaching program. However, it does confirm that 1) you're dedicated to creating more empowerment and happiness in your life, and 2) you're ready to start coaching if you and I are a good fit. YES.

Wellness + Empowerment Coaching Application

Hey, darling.

Unique Holistic Happiness

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