First Contact Form
I'm honored that you've chosen to reach out. Please fill out the following questions and I'll get back to you asap with the next steps! Wishing you a luscious day. Xine XO
Email address *
What is your first name? *
Your answer
What is your last name? *
Your answer
What is the Email address you would like me to use? *
Your answer
Where are you living right now (city, country)? *
Your answer
Gender? *
What is your primary reason for seeking to work with me? *
Your answer
Are you ready and willing to invest your time, energy and money into a series of weekly-(ish) coaching sessions that help you make great strides towards achieving what you desire most? *
Are you available to have regular online sessions that require a steady internet connection in a private space where you will not be disturbed and feel relaxed in your body? *
When would you be ready to begin working together? *
Your answer
A copy of your responses will be emailed to the address you provided.
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