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1:1 Application

I know you know a bit about me, and now it's my turn to learn a bit about you... 

Let's get started!

Start

Question 1 of 13

Email Address 

Question 2 of 13

Full Name

Question 3 of 13

Phone Number (please include country / area code)

Question 4 of 13

What is calling you to work with me at this time?

Question 5 of 13

Which areas of growth and healing are you called to at this time?

(select all that apply)

A

Embodiment

B

Confidence

C

Activating Intuitive Senses

D

Learning Healing Modalities

E

Ancestral Healing

F

Spiritual Practices & Tools

G

Expanding my business

H

Understanding Your Blueprint and Soul Path

I

Grounding

J

Inner Child Work

K

Dream Work

L

Womb Healing

M

Magick Rituals

N

Find deeper levels of Joy and wellbeing

O

Connecting With Your Body

P

Other

Question 6 of 13

Have you sought any personal help in these areas in the past? (aka self-study, hired coach, mentor, groups, etc). If so, please tell me about your experience.

Question 7 of 13

How did you find out about me?

Question 8 of 13

What challenges are you going through currently?

Question 9 of 13

As long or as short as you please, tell me a little bit about yourself. What do you live for? What excites you? What are your passions? What type of work do you do? What do you dream about?

Question 10 of 13

What is your monthly income bracket?

(Select all that apply)
A

$0 - $5000

B

$5000 - $10,000

C

$10,000 - $20,000

D

$20,000 - $50,000

E

$50,000 - $100,000

F

$100,000+

Question 11 of 13

If you were to write the script of our time together, how would you feel after our time working together. What is the perfect outcome for you?

Question 12 of 13

What is your Birthday? 

Please spell it out ie. (January 24, 1984)

Question 13 of 13

Lastly... Drop me your Instagram handle + website link (if you have one)

Confirm and Submit