Become Regulated and Unshakeable: 1:1 V.I.P. Sessions

My promise to you: Unlimited 1:1 sessions until the specific trigger or anxiety is eliminated. Whether it's 1 session or 20, you invest once, I guarantee the results!

Who is this for?:

-people who are experiencing fear and anxiety on a daily or weekly basis

-if you have a specific trigger that sends you spiraling for days

-you are tired of trying to figure this out on your own, and you want a clear and proven path to healing your health anxiety

-ready to make the change and do the work, not just think about it

Applying does not mean any commitment to joining, but the first step towards healing is deciding that you are ready to stop struggling and staying in survival mode. If you are ready to become regulated and calm in your life, apply now!

Sign in to Google to save your progress. Learn more
Full Name *
Email *
Phone Number *
 What challenges are you currently facing around anxiety and triggers? *
What specific anxiety or trigger would you want to eliminate in our 1:1 sessions together? *
 How is this impacting your day-to-day life? *
  What have you already tried to heal or manage it?   *
What made you want to work with me specifically? *
  Why are you ready to change this now?   *
If nothing changed in the next year, what worries you the most? *
  What would a calm, regulated life feel like for you?   *
What would make investing in these 1:1 sessions a no brainer for you? *
What hesitations fears did you have before applying? *
  Are you willing to invest in yourself to get your life back and feel like yourself again? *
  Are you looking for a pay-in-full or payment plan?   *
  Is there anything else you want me to know about you or your journey? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Megan Hillukka Coaching.

Does this form look suspicious? Report

Google Forms