Manifest VIP Coaching Application
We all have challenges when it comes to love, dating, relationships and health.
It doesn't have to be that way though!
After 12+ years of coaching and working with clients helping them redesign their love and health strategies I know what it takes to attract the health and the partner that you want and now we want to help you.
That means getting to know you and the issues that you're struggling with when it comes to love, dating, and relationships. And to see if you are a good fit for our program.
Below are questions that will help me know how to best help you.
Be as honest as you feel comfortable, there are no wrong answers!
As a thank you, you will receive 15% promo at one of future events plus be a part of our AOA community for occasional updates. We are so grateful for you!
Much Love and gratitude,
Nancy Benitez | Deep Love Strategist
*Your email is confidential and will not be sold.
Share one Fun Fact about you?
What is your relationship status?
Single and Looking
Single and Happy
Partnered and want something on the side
Partnered and want to be happy
I want a separation or Divorce
Please describe the top 3 core values and qualities of your ideal partner? (Trust, passion, honesty, vulnerability. etc)
Please describe YOUR top 3 core values? (Trust, passion, honesty, vulnerability. etc)
How important is being in the ideal relationship?
Not Really that important
Interested and somewhat important
I'm going to die if I am not in the ideal relationship
Have you or do you use dating apps?
Yes! Love it
Yes! Hate it
No! Would like to explore it
No! Not interested
Have you or do you work with a Matchmaker?
Yes! Love it
Yes! and doesn't seem to be working for me
No! Would like to explore it!
No! Not interested
What do you believe has been stopping you from having a great relationship?
What do you believe has been stopping you from having great health?
What is your #1 Struggle with Dating or in your current relationship?
What kind of activities do you practice for health, personal growth, and development? (choose all that apply)
Daily Meditation or Prayer Practice
Gratitude- Affirmations- Visualizations
EI: Emotional intelligence Practice
I work with a Life/Health Coach
Daily Movement: yoga-gym-run-sports-hiking-outdoor activities
Healthy Diet and lifestyle Practice
NLP: Neuro Linguistic Process
*How committed are you to your own personal growth, health and Self Care?
Fully Committed! I want to be my best self daily
Committed but need Inspiration
Kinda committed I could go either way
Not Committed but want to learn how I can be
Not Interested in any commitment
We want your ideas! What type of fun local activities, adventures and events would you likely attend in Sarasota and surrounding areas?
How did you find us?
Anything else you would like to share?
Thank you so much for taking the time to help us learn more about you! Someone will contact you within 1-2 days. If you have any questions please contact us at email@example.com
Send me a copy of my responses.
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