Experience Freedom Fall 2021
Hello friend! We are so excited and honored that you made it here. We'd love to get to know a little bit about you!
Please fill out the confidential form below and we will reach out to schedule a discovery session at your convenience. Your answers will never be shared with anyone outside our organization. Thank you for being here, we look forward to connecting with you!
Sign in to Google
to save your progress.
Let's start with your name:
Now let's jump on in: What is the biggest result you'd love to see in your life right now?
What type of support do you feel would be most valuable to you at this time? (Check all that apply)
More structure/organization in your life + routines
Business / professional support
Creativity + inspiration
Mindset + strategy to get where you want to go in life
Mental health support
Manifestation techniques, practices + rituals
Connection to higher power/Self/God/Source/Universe/Spirit team
Connection to your physical body + it's wisdom
Intuitive/channeled guidance + healing work
Consistency in your Self-love practice + rituals
Embodiment + integration practices for the knowledge you already have
More freedom of expression / being seen
Aligned, supportive community of peers who get it
An overall major life up-level
A heaping scoop of miracles
We get the biggest results when we are dedicating our practices to something bigger than just our small self. Are you committed to creating a world where all beings everywhere are happy, free, loved and resourced?
Yes, let's do this team!
Yes, but I don't know how we'll get there
No, I only want it for myself
Have you ever had a coach or participated in a group program before? Have you ever been on a retreat?
In Experience Freedom, a huge part of the magic comes from being in a supportive community of epic beings who are willing to do the work, support each other, and play full out. If you were to join Experience Freedom, do you feel you could contribute to the group by being an active member that brings value to our community? Tell us!
Do you feel ready to receive training and support to achieve the results, feelings and experiences you want in your life?
Yes, I trust myself to take this leap!
Yes, and I'm nervous about the funds
Yes, and I need to get creative to make it happen
No, I'm not ready to invest in myself and my growth at this time
How did you find out about us?
A friend referred me who has been through the program
A friend referred me, I don't know if they have gone through Experience Freedom
I personally know Nina
I've taken Nina's yoga class and met her there
The Experience Freedom: Magnetic Authenticity Masterclass (July)
The Experience Freedom: An Evening Journey of Awakening April workshop
I participated in the Raise Your Vibration Challenge
I participated in the Virtual Retreat
I have already participated in Experience Freedom or worked with Nina 1:1
Can't remember, but I'm here now!
Amazing! Now, let us know your phone number and the best way to get ahold of you to schedule a chat with Nina (WhatsApp, text, email, etc):
In Experience Freedom, we get all get the most powerful miracles imaginable when everyone shows up and plays full out. How willing are you to play BIG and receive BIG results?
Just a tiny bit ready.
A copy of your responses will be emailed to the address you provided.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Nina Camille.