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FILL OUT THIS APPLICATION TO BEGIN

Name

First Name

Last Name

Where in the world are you based? Please list City & Country below. i.e. Auckland, New Zealand

How would you describe yourself? Give it your best shot.

What do you want to get out of this program? Why do you want to work with me specifically?

Describe your dream life. What does it look like and how does it feel?

What current blocks are you experiencing and what have you tried so far?

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 wave a magic wand, what would your life look like and feel like?

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?

VIP Upgrade Includes: > Group Program inclusions > 3 x 45min 1:1 Coaching Calls with Rawinia Select how you intend to pay below.

Best Value: $1,200NZD Full Payment Upfront

Flexible: 2 x Monthly Payments of $625NZD

Pretty Flexible: 3 x Monthly Payments of $450NZD

Most Flexible: 6 x Monthly Payments of $250NZD

VIP Upgrade: $2,200NZD Full Payment Upfront

VIP Upgrade: 3 x Monthly Payments of $750NZD