Private Coaching Application

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The purpose of this application is to explore working with me 1:1.
Please fill out the form below with as much detail as possible. If it looks like a great fit, I’ll reach out to schedule a complimentary connection call to make sure this is the next right step for you!
With love and gratitude,
x

L

What's your name?

Do you prefer email or instagram for me to contact you? Please provide your contact below:

Where are you located?

How did you find my services?

What drew you to coaching with me and why is NOW the best time to start for you?

Which areas are you wanting support with?

Confidence / self trust / self love

Overcoming anxiety / low mood / stuck states

Shifting my mindset out of scarcity, lack, and fear

Hormone imbalances / PCOS / PMS / Irregular or missing cycles / fertility

Developing a healthier relationship with food and my body

Optimizing my physical health in all areas (energy, mood, hormones...)

Getting out of my own way and overcoming self sabotaging cycles

Activating my feminine energy and tuning into my intuition

Finding my purpose and feeling fulfilled in my life

Being seen and putting myself out there

Making bigger moves in my life or business

What are your main concerns that you would like to overcome?

What would you ultimately LOVE to achieve or create for yourself in the next 4 months?

What do you believe has been in your way from creating this result?

Where are you feeling like your life is out of alignment or out of balance currently?

Have you worked with a coach before?

Yes

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If not, why now? If yes, what was your experience?

What would you love to learn from me?

Are you ready to invest into yourself?

Yes I'm ready for change in my life

I'd love a phone call to chat more and make sure this is the right fit for me

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Is anyone else involved in this decision process with you?

Submit

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