Sacred Self Empowered
Online Coaching Application

During our time together, we will be limited to 15 minutes.  Filling out this application saves us the time of me asking you these questions on the call and also helps me determine if it feels aligned to work together.

Thank you for taking the time to fill it in.

During our call, you will have the opportunity to ask me some questions and determine if it feels aligned for you!
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Name on Facebook, if different from above *
Email Address *
I typically use Facebook Messenger for Application Calls.  Please let me know below if you would prefer zoom. *
What drew you into my energy?   Why would you consider working with me (as opposed to someone else)? *
If money, time, fear and judgement were no obstacle, what would you be doing differently in your life right now? *
How/where in your life are you feeling stuck? *
What have you tried to help you with this and why hasn’t it worked? *
Please share a little bit about your goals, what you hope to achieve if we work together. *
What do you feel is the biggest obstacle to you aligning with your higher self? *
What is your magic that you bring to the world?  What gifts are you aware of? *
Do you take part in any spiritual practices, rituals or ceremonies?   If yes, tell me a little about that. *
How much have you invested in your journey so far? *
Have you ever worked with a Coach or joined a Mastermind Program? *
Anything else you think I should know or want to share to give us more time together on our call? *
If you were referred by someone, please tell me who! *
Thanks for filling out this application form!
If you've already booked a time to talk, no news is good news!  If you don't hear from me, that means I'll be looking forward to our call and I'll reach out via Facebook Messenger a video chat or with a Zoom link for our scheduled call!

If you haven't yet booked a call, and you'd like to set up a time to see if we align well, be sure to Book Now

If we aren't already friends on Facebook, please add me - Jennie Henderson
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report