Coaching Application
My healing philosophy:

We heal when we decide we are ready to heal
We must listen to and follow our inner knowing for our healing
We must always be gentle and patient with ourselves throughout our wellness journey
We must tune in and listen to our bodies
Our bodies thrive on healing, spiritual food and physical food

I’m thrilled you are here to nominate yourself for coaching with me. This is an intimate, 6 month coaching experience of which we will discuss the details later. A deep body, mind, and soul journey into the value of who you truly are, and the truth of who you’re called here to be while being empowered to love yourself no matter what while experiencing an easy menstrual flow.

Through targeted nutrition, cell memory reprogramming mindset strategy, and the magic of your unique strengths and desires, the next 3 months of your life could be the most important yet.

Because of how unique and powerful this process is, I can only hold the space for a few more women to undergo this private coaching experience. This option is for you if:

* You have already done some kind of personal development
* You see the important growth possibilities when your mind, body and spirit are aligned
* You are coachable and open to being in a co-created mentorship with a master-level coach

This program is currently a four-figure investment and includes:

* 1-on-1 support with me bi-weekly for 12 sessions for where I personally walk you through the program and help you to make it your own so that your results are customized to your desired outcome.
* Access to my personal email and cell for texting with me in between sessions

This is a highly transformational program with a master coach. The investment reflects the value exchange. If you understand what a powerful energetic statement it is to invest in yourself at this level and you’re ready to make an investment in yourself with a massive return in value, I invite you to apply.

Nominating yourself for this coaching option does not obligate you to enroll.

Once we receive your information, you will be directed to schedule your Discovery Session so we can get better acquainted and to decide if you are a good fit for this mentorship.
Email address *
First & Last Name *
Your answer
How often do you check your email? *
Your answer
Best Phone Number To Reach You *
Your answer
What country & time zone are you located? *
Your answer
Age *
Your answer
Date of Birth (MM/DD/YY) *
Your answer
Address *
Your answer
Place of Birth *
Your answer
Relationship Status *
Tell me about your life, health, and relationship status right now. What’s happening? What are the most important things in your life, love, and work? *
Your answer
If you’re accepted for coaching with Cathyann, what top 3 things do you want to accomplish? *
Your answer
Who or what do you think are the biggest obstacles in reaching your current goals? *
Your answer
How will your life, health, and/or relationships be different if you are accepted for coaching? *
Your answer
What is your occupation? *
Your answer
How many hours do you work per week? *
Your answer
Please list your main health concerns. *
Your answer
Any serious illnesses, hospitalization or injury. *
Your answer
How is/was the health of your mother? *
Your answer
How is/was the health of your father? *
Your answer
What is your ancestry and cultural history - what countries are your family from? *
Your answer
What blood type are you? *
Your answer
How is your sleep? *
Your answer
How many hours? *
Your answer
Do you wake up at night? *
Your answer
If yes, why?
Your answer
Do you experience any of the following? Check all that apply *
Required
Are your periods regular? *
How long is your cycle (count from your first day of bleeding to the day before your next first day of bleeding)? *
Your answer
How many days do you bleed? *
Your answer
What color is your blood on the first and second day? *
Your answer
Do you experience any symptoms with your monthly flow? Please explain ... *
Your answer
Birth control history? *
Your answer
Do you experience yeast infections or urinary tract infections? Please explain ... *
Your answer
What is the brand name of the sanitary items you use monthly? *
Your answer
Do you use pads or tampons? *
Do you take any supplements or medications? Please list ... *
Your answer
Any healers, helpers or therapies with which you are involved with? Please list ... *
Your answer
What role do exercises such as running/walking/sports or any type of movement such as dance or yoga play in your life? *
Your answer
Do you meditate? If yes, how often? *
Your answer
What foods did you eat often as a child for breakfast, lunch, dinner and snacks? *
Your answer
What foods do you eat often as an adult for breakfast, lunch, dinner and snacks? *
Your answer
What liquids did you drink often as a child? *
Your answer
What liquids do you drink often as an adult? *
Your answer
Do you cook? *
What percentage of your food is home-cooked? *
Your answer
Do you crave sugar, coffee, smoke cigarettes or have any other major addictions? *
Have you made other major investments in yourself in the last 3 years and are you in the middle of any other coaching program? If so, which ones and share how you feel about additional support? *
Your answer
On a scale of 1 - 10, how committed are you to making the necessary health changes in your life? *
Not Committed
Absolutely Committed
Anything else you would like to share? *
Your answer
How did you hear about us? *
Your answer
The financial investment for the 6 Month Easy Menstrual FLOW or Fertility Coaching Experience is $4800.00. You can make full payment at once and save— or we can set up an installment plan to be billed monthly over 5 months. If you choose the installment plan option, an additional 20% administrative fee is added to each invoice. If we determine you are a good fit for this coaching option, will you be able to commit to the investment without excessive stress and are you willing to gather the funds that you need and make this investment? *
I understand that by nominating myself to work with Cathyann, I am under no obligation to join the Easy Menstrual FLOW or Fertility Coaching program. I understand that if I am chosen, and after speaking with Cathyann over the phone or zoom to see if it’s a fit, and reviewing and signing the program agreement, I am committed to completing the program for its duration. I also understand that I am the client and Cathyann is my guide and mentor throughout this process and journey and understand that the client/mentor relationship is one of mutual respect. As a participant in the Easy Menstrual FLOW or Fertility Coaching experience, I will give the experience 100% to get the most out of it and understand that it is a co-creative process. ~~~Do you understand the statement above? If so, please check YES. Thank you for sharing your desires with me. My team and I will be in touch soon. *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy