Coaching Application Questions
Hi gorgeous soul,

Please answer all the questions with as much thought and detail as possible, and let's see if we're a magical match for working together. :) <3

1. What’s your first and last name?
Your answer
2. What’s your age and date of birth?
Your answer
3. Where about do you live, (city, state, country)? / What time zone are you in?
Your answer
4. Do you identify as a woman?
5. Do you suffer from any type of mental illness? Or have you in the past? For example – depression, bipolar, PTSD, anxiety, OCD, anorexia, bulimia, etc. If yes or maybe, continue with question 5a. If no, skip to question 6, or answer whatever questions in section 5 that are relevant to you.
5a. What type(s) and for how long?
Your answer
5b. Have you recently felt suicidal?
5c. Have you ever been in any type of treatment for mental illness?
5d. Are you currently working with a therapist, a psychiatrist, both, or neither?
Your answer
6. Are you currently on any medications? If so, what for?
Your answer
7. On a scale of 1-5, 1 being low/lacking and 5 being high/abundant, please rate the following:
1
2
3
4
5
How satisfied are you with your overall life?
What would you rate your happiness?
How would you rate your self-love?
How connected are you to your yoni, (vagina), and your feminine power?
How would you rate your mindset?
How empowered do you feel in your mind, body, and soul?
8. Which of the following do you relate to the most?
9. Give me a little glimpse into your life right now. Who are you? How would you describe yourself and your life? What do you do day to day? How does your life currently make you feel?
Your answer
10. What do you wish your life looked like instead? How do you wish you felt? What’s missing?
Your answer
11. What do you think is getting in the way of you having this type of life? / What’s currently challenging you the most in your life right now? / What’s holding you back?
Your answer
12. How would it feel to commit to yourself, to fully transform and get to where you truly want to be?
Your answer
13. Why do you want to work with me? / How would you like me to help you?
Your answer
14. Realistically, are you truly ready to take a leap and make an investment in yourself, both financially and emotionally?
Your answer
15. Is there anything else you’d like me to know?
Your answer
16. What are your social media links/handles?
Your answer
17. What is your email address and phone number? (These will only be used so I can contact you for the call/session).
Your answer
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