Apply to work with me!

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Please fill out this form in it's entirety to be considered for 1:1 Coaching Mentorship.

Email *

Full Name *

Phone # *

Age *

Occupation *

What state are you currently located? *

What are you currently struggling with right now? *

What have these struggles prevented you from being and doing? *

What healing modalities have you tried on your spiritual/ healing journey? *

If you weren’t currently struggling with the things you mentioned, how would you visualize your dream life? *

What are some of your goals & objectives you would like to obtain by working with me? *

What is holding you back from obtaining those things? *

Why is it different now? Why are you finally ready? *

Are you willing to do whatever it takes to release your struggles so you can obtain your dreams & goals? *

YES!!

I'm not sure if I'm ready to make this change

Coaching packages start at $1,500.

Are you ready and able to invest in yourself?

Yes, I will pay in full

Yes with a payment plan

I am unable to financially invest at this time

Other:

Any questions you have for me? *

Thank You! Sending Lots of LOVE & HEALING ENERGY YOUR WAY!

Your application is under review! We will be in touch!

*Juliette Marie

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