Embody 1:1 Coaching Application
Hello Darling! This form is so I can get to know you better.

I suggest carving out 15-20 mins to complete it - although it may not take that long.

Looking forward to connecting!
With love,
Email address *
Name: *
Phone: *
Age: *
Location: *
What do you do for work and/or how are your days currently filled? *
What are your top 3 desires at the moment? *
Where are you stopping yourself from stepping into your FULL truth? *
Where do you disown your power? *
What is challenging for you about embracing your pleasure and sensuality? *
How connected do you feel to your body? *
Have you worked with a coach before? If so, can you please elaborate what you've worked on? *
Nadia is also a certified Holistic Health Coach which means she occasionally works with clients on health-related issues - if requested. She focuses on hormonal health and intuitive eating. Is this something you are interested in? If so, can you share a little bit about what is challenging you in the realm of health? *
Please note any history of or current health conditions and intolerance/allergies Nadia should be aware of - if you decide to work together. (Please include relevant medications you might be on including antidepressants, anti-anxiety, birth control etc.) *
How ready are you to invest time and money into transforming your life and stepping into your full potential? *
Not Ready
Very Ready
Where did you hear about Nadia's work? *
Anything else you would like to share with her? *
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