Welcome to Natural Living with Nina's Wait List Application Form
I'm stoked to see you on my wait list!

Please take 2 minutes to complete this form before we make time to chat. 

This form will help both of us get a little clearer on your current concerns and desired goals.

Plus it will enable me to steer the conversation in a helpful direction so that you can get the maximum benefit of our time together.
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Email *
Name and Surname
What would you like to discuss in your 1-on-1 chat with Nina? I would like to chat about how: *
Required
How are you currently feeling? *
Required
What is the main thing you are looking for help with? *
How did you hear about Natural Living with Nina? *
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Any additional information you would like to share?
Would you like access the the Pre-entry to Natural Living Course? This mini course will help you get clarity on your priorities and if you have the capacity to invest in your wellness with me.  *
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