SELF-LOVE SOLUTION: A self-love coaching + healthy eating mindset program with Martine De Luna
Hi! This is an application form for my coaching on Self-Love! It’ll be a fun, supportive and loving group you will journey with for 6 weeks, and we will support one another each step of the way!

Before anything, I need to ask you a few questions. This is so I know if we are a good fit to work together as coach and client.

By the end of this program, you will have learned mindset tools to help you have more self-worth, so that you will also view how you view food in a SELF-LOVE language. (Plus, you will feel amazing, too.)


Self-Love Empowerment Mindset Toolkit
Accountability Group : a secret group where we will help you overcome your food cravings and really build up good habits when it comes to emotional eating
6 weekly coaching sessions for Group Coaching, done online (using the Zoom app, which works on any Android or Apple device, laptop)
Welcome Gift from Martine

* As soon as we get at least four (4) ladies on the path.

Love you already,

Your Full Name: *
Your answer
Your Email Address: *
Your answer
Your IG handle: *
Your answer
Your reason for wanting to do this at this point in life: *
Your answer
What do you think of when you think of self-love? *
Your answer
What are some current self-love practices you have now? *
Your answer
On a scale of 1 to 10, how willing are you to INVEST in yourself so that you can feel GOOD about yourself, have more CONFIDENCE, and be more EQUIPPED WITH MINDSET TOOLS to really fall in love with yourself? *
I’m not ready; I am fine the way I am.
I am ready to do the work, get coached, and truly love myself this 2019!
This is a transformational coaching program, designed to equip you with self-love tools, habits, and the fun of working with a group of like-minded women to achieve amazing results. If you are ready, then the investment to work with me as your coach for this 6-week group coaching program is P10,000.00. (PLEASE SELECT ONE OPTION BELOW.) *
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