1:1 Coaching With Alexandra Jamieson
I’m thrilled you are here to nominate yourself for this private mentorship program. This is an intimate, 10 month, 1:1 coaching experience. A deep body, mind, and soul journey into the value of who you truly are, and the truth of who you’re called here to be.

Through targeted nutrition, positive psychology mindset strategy, and the magic of your unique strengths and desires, the next year of your life could be the most important yet.

This program is for you if:

You have already done some kind of personal development or corporate training work
You see the important growth possibilities when physical vitality, mindset, and spiritual purpose are aligned
You are coachable and open to being in a co-created mentorship with a master-level coach

This is an intimate, 10 month, 1:1 coaching experience.

A co-created program into the core and essence of who you’re called here to be.
Because of how powerful this container is, I can only offer a limited number of opportunities to work with me in this way in 2019.

This program is a high five-figure investment and includes:

* Three 1:1 sessions with me per month
* Personal access to my cellphone for texting with me in between sessions.
* A personalized 3-day retreat together in the 48 contiguous United States.

* Everything you share here is private and confidential. Please share openly and freely.
* Do not press “enter” while you are filling out the form, as it will submit the form before you are finished.

Contact Information
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Website URL
Your answer
Phone Number *
Your answer
Address *
Your answer
Address Line 2
Your answer
City *
Your answer
State/Province/Region *
Your answer
Postal/Zip Code *
Your answer
Country *
Your answer
Now, tell me all about you…
If I waved my magic wand over you and your life, what would you be doing in the world? How would you be showing up physically, spiritually, and what would you be creating in the world? *
Your answer
Tell me about your life, business, health, and relationship status right now. What’s happening? What are the most important things in your life, love, and work? *
Your answer
If you’re accepted into this program with Alex, what top 3 things do you want to accomplish? *
Your answer
Who or what do you think are the biggest obstacles in reaching your current goals? *
Your answer
What is your current approximate yearly income? *
Your answer
If accepted into this program, will you be able to commit to the investment without excessive stress? *
Your answer
How will your life, health, business, and/or relationships be different if you are accepted into this program? *
Your answer
Have you made other major investments in yourself in the last 3 years and are you in the middle of any other coaching program? If so, which ones and share how you feel about additional support: *
Your answer
What else should I know about you?
Your answer
Accepting The Call To The Journey
I acknowledge that by filling out this application, I am under no obligation to join the Body And Soul Transformation Coaching program.

I understand that if I am chosen for one of the spots in the Body And Soul Transformation Coaching program, and after speaking with Alex over the phone to see if it’s a fit, and reviewing and signing the program agreement, I am committed to completing the program for its duration.

I also understand that I am the client and Alexandra is my guide and mentor throughout this process and journey and understand that the client/mentor relationship is one of mutual respect. As a participant in the Body And Soul Transformation Coaching experience, I will give the experience 100% to get the most out of it and understand that it is a co-creative process.

Do you understand the statement above? If so, please check yes: *
Thank you for sharing your desires with me. 
My team and I will be in touch soon.


Never submit passwords through Google Forms.
This form was created inside of Domainate Incorporated. Report Abuse - Terms of Service