1-1 Empress Coaching Application
1:1 Coaching Application
* Required
You are Magic, Goddess <3
Basics: What is your name & date of birth?
*
Your answer
What is your email & phone number?
*
Your answer
What City/State/Country do you live in?
*
Your answer
Do you have a business or social media? Please share website link and social media handle:
Your answer
What area(s) is most challenging you right now?
*
PMS: acne, bloating, period cramps, fatigue, irritability
Trauma with body: sexuality or past experiences in timeline
Painful or numbness when having sex
Challenges with embodying your sensual nature/ disconnect to Divine Feminine
Burnout
Food cravings & emotional eating
Body Shame or Dysmorphia
Nutrition: busy schedule, hormones, supportive meal plan
Nutrition in general- confusion of what to cook
Recurring unhealthy patterns in relationship, business, etc
Other:
Required
Where in life do you feel constricted?
Your answer
How is this challenge affecting the rest of your life? Example: goals, relationship, health, career?
*
Your answer
Tell me about your relationship to your body, your sexuality, womb and to food?
*
Your answer
What is your highest self vision that you are ready to embody when we work together? (this is what you would like to UpLevel into through this private coaching journey)
*
Your answer
If we are a match to work together, are you ready for massive UpLevel, deeper embodiment, and more ease and flow in your body, relationships and business?
*
Your answer
This is the most intimate way to work with Allie. Empress Coaching starts at 4 figures, $1888 monthly for 4 months and includes access to all courses by Modern Goddess Lifestyle + a pleasure package with crystal wand and other yoni supports mailed to you. Are you willing to invest into yourself to make this vision a reality?
*
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms