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FILL OUT THIS APPLICATION TO BEGIN

Name

First Name

Last Name

What capacity have we worked together in the past? i.e. Group Coaching Container or 1:1

What is your intention for our time together this time around? Why do you want to work with me specifically?

What have you tried so far? Where are you feeling stuck?

What support are you looking for from me in this space? e.g. Accountability, Sound Board, Spiritual Healing

Please post your social media & website (if applicable) details below:

Are you currently on any medications that interfere with your state of mind, energy levels, productivity, concentration or ability to achieve your intentions?

If you could see yourself three months from now, where would you be and what would it look life?

Are you willing to show up and make the changes? What will you say to yourself when things become challenging?

Are you currently in a financial position to pay for coaching?

Investment is $900NZD for 12 weeks if paid in full with payment options available.

Yes