VIP The Empowered Woman discovery form
Hey queen, i'm so happy you’re here!

If you are looking to transform your life through the power of self love and self-compassion shifts in your mindset and embracing all of YOU, then please fill out the form below, take your time, grab a drink, this is the first step to changing and transforming your life for the better 💖

I’m here to cheer you on, inspire and empower you to find your way.
To help you feel confident within yourself and your life.

Are you ready to make changes and take action?

Your responses come directly to me, so between you and I, the information you share is confidential. Once I've read through your responses, I will be in touch to book a private, complimentary discovery call with you, to find out a little bit more and discuss your options and tailor a package that suits you 💞

Sign in to Google to save your progress. Learn more
Email *
Full name: *
Where are you located? Country, city, time zone? *
How did you find out about me? *
Why is now the right time for you to work with an empowerment coach? *
How do you feel right now about yourself and your life? *
How would you love to be feeling about yourself and your life in the next 6-12 months? *
Have you done any personal development or inner healing work before? *
Have you worked with a therapist/coach or councillor before? *
What big shifts or changes do you want to see in your life (in yourself and external world)? *
What is currently standing in your way and stopping you from living your best life/moving forward? *
What 3-5 things are you hoping to achieve in the next year, this could be within yourself or external world (like career, house  etc), big or small: *
What is stopping you from achieving these?
What do you love to do in your spare time or in general? *
Why is having a better relationship with yourself important? *
Do you have any hesitations? *
Please share your instagram handle so we can connect: *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy