Flourish with Purpose™️ by Amanda Sevilla

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Do you want to Flourish with Purpose?

If yes, I want that for you too!! If you want to know more about my coaching program, read testimonials, and see what we're all about- please watch the program video here: amandavsevilla.com/coaching

I want to make sure that I can serve you in the best way possible as your coach, so please fill out the form below. Please do not rush this process. Allow up to 20 min to share what you'd like support on. If we would be a good fit, I will reach out to you for the next steps!

If you’re a details person, we will share all the details about FWP in our chat. It’s important for us to know what you are looking to achieve and that FWP can help you before we go into those details! Thanks for your openness and patience!

NOTE: We will reach out to you if you are a good fit via Instagram DM, or phone number, or email that you share. Please double check that this information is correct and up to date before submitting. Thank you!

Email *

Working with me is an investment in your wellness, your mental health, your emotional health, and your future. While I can make arrangements for custom payment plans, I only accept applicants who are serious & energetically aligned with this commitment.

Please check this box if this is for you:

Please note that filling out this form is not a commitment to coaching. If we are not a good fit, I am happy to make sure you leave our conversation with helpful and useful information!

Yes, I would like to continue see if this investment is aligned with me (mentally, physically, emotionally, spiritually, logistically & financially)

Not looking to invest, just curious about your offering.

Required

Phone Number *

Please also add country calling code, ie. +1, +61, etc.

First and Last Name *

Preferred pronouns & preferred nickname *

she/her, he/him, she/they, them/they, etc.

Instagram Handle *

If none, type N/A and please indicate if you would prefer to be contacted via email or text. If we do not know how to reach out to you, we won't be able to qualify you!

Current location/time zone *

Flourish with Purpose operates from Los Angeles (PST). Having aligned time zones is important for the calls to be productive and enjoyable!

How did you hear about Amanda? *

What prompted you to reach out for help? *

What are the biggest challenges you're facing right now? *

Check all that apply to you.

Perfectionism that freezes me from taking action

Feeling numb, going through life on a “conveyor belt," Boredom with my everyday, knowing I can do so much more

Lacking deep satisfaction and fulfillment in what I do

Feeling disconnected from my purpose, my bigger picture

Feeling disconnected from my body, lacking confidence, wanting to feel secure in my body

Difficulty making big decisions with confidence

Knowing my purpose but not knowing/being able to execute

Lacking clarity in what my next steps are

Tired of having a surface-level life

Wanting to make a big transition or change in my life but feeling fear, directionless, and low self-esteem

Insecure about my looks, body, lifestyle, etc.

Constantly comparing myself to others and feeling a lack of self-worth

High everyday anxiety that stops me from taking action.

Feeling very insecure about my finances and my ability to make money.

Other:

Required

Please share a bit more about the items you chose above. *

What have you tried before to resolve your current struggles? 

What did you like or dislike about the above experience? What do you feel was missing?

This mentorship is centered around finding and creating a supportive system that is aligned with your true soul's purpose, the big reason why you are here. How will knowing your purpose and living in alignment with it affect your life? *

On a scale from 1-10 (1 being "Not at all," 10 being "All-in and ready to go") how motivated do you feel to make these changes happen, commit to your best self, and allow accountability and support from a coach to move you forward? *

Have you ever worked with or considered a mentor/ guide/ coach? before? *

What are you looking for in a mentor/ guide/ coach? *

What do you currently do for work?

To ensure we can offer you the best payment plan and program options, could you please share your approximate monthly income? *

Do you have a rough estimate of how much you typically spend each month on things like eating out, coffee, clothing, supplements, memberships, or similar expenses? *

This helps us tailor our recommendations to your lifestyle.

Do you have a significant other, parent, or anyone involved in the decision-making process of your inner work? *

How does your significant other feel about you hiring a coach to support you? Have you had this discussion? Why or why not? *

Why is now the best time for you to invest in your inner work, accountability, and transformation? *

If you gave the 1-10 rating above less than a 10, please share why you chose that number & what you would need to know/have/feel to score a point higher. *

If you chose 10, type N/A.

If we are a good fit, would you be ready to get started in the next 30-60 days?

Yes!!!

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