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
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*Your email is confidential and will not be sold.
Email *
Your Name
Share one Fun Fact about you? *
What is your relationship status? *
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? *
Have you or do you use dating apps? *
Have you or do you work with a Matchmaker? *
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) *
*How committed are you to your own personal growth, health and Self Care? *
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
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