Prosperity and Alignment Package Application
I'm so looking forward to exploring if working with me is a good fit for you at this time. These questions will give me a greater understanding of you and your work!

Please grab a cuppa and take your time (around 10 minutes) to complete this form.

Once I receive your responses I will get back to you within 48 hours via email with the next steps. If you have any questions, please send me an email to

Amanda x
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Email *
Name *
How do you identify? Please share with me any aspects you would like me to know! For example - I identify as a white, cis-gendered heterosexual woman with a disability. My pronouns are she/her. *
Postal Address (in case I send you some snail mail) *
How long have you had your business/been a space holder for? (if applicable)
What are your current offerings? *
Please share your website and/or social media links below.
What brings you to apply to work with me at this time? *
What is your biggest challenge or thing that keeps you awake at night in your life and business at this time? *
What is your biggest strength? *
What are you most proud of in your life and business journey to date? *
At the end of our time together, what would 'success' look and feel like? What would you be doing? How would you feel? *
What lights you up in this world ? I'd love to know a few of your hobbies, favourite foods, favourite things to do! *
What feels exciting about working deeply in a fully supported 1:1 container? *
What feels a little daunting? *
Have you read the terms and conditions and refund policy and agree to those terms? *
Are you in a place where you are able to afford the payments without financial hardship? *
Which Tier are you applying for? *
Diversity, inclusion and equity are really important within my spaces to ensure they are safe for everyone. I'm big on 'unlearning'. I speak openly about becoming more anti-racist, anti-homophobic, anti-ableist and more inclusive as business owners and humans. And I'm still learning too! Will that be in alignment with your values? *
Is there anything else you would like me to know about you or your business that will allow me to support and understand you and your needs better?
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