Application Form: 1:1 Deep Healing Program
Hello beautiful soul! Thank you for your interest in DHP!

DHP is a 6-month private coaching program for women with chronic health issues who are ready to step into their power, connect to their highest self, release all that is standing in the way of their healing, and live in alignment with the truth of who they are and the life they came here to live.

The program includes not only bi-weekly private coaching sessions with Pavlina, but you will also get access to Pavlina's signature online program, Conscious Healing Blueprint.

Take your time to complete this application thoughtfully and with intention.

This is how the process will work:

1) Apply for 1:1 Deep Healing Program using this form.

2) After submission, you will be invited to a discovery call to connect on a personal level and to see if it's a fit for both you and Pavlina.

3) If accepted to DHP, you will then be required to pay a deposit to hold your spot, either one monthly payment or in full (depending which payment option you choose). Program cost is one time payment of $4'444 or six monthly payments of $888.

Please note: Completing this application (and scheduling a discovery call) does not obligate you to join the program or guarantee you a spot. It’s simply the steps in exploring this option for you and Pavlina, together. However, only apply if you're seriously interested in this container, as Pavlina only accepts a limited number of clients into DHP who are committed to their healing and transformation.

Love,
Pavlina

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Email *
Please confirm your application by checking the box *
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Your Full Name *
Your Email Address *
Your Time Zone / Where are you in the world *
Please tell me about why you would like to join 1:1 Deep Healing Program. *
What are you currently struggling with (mind, body and soul)? *
What would you like to achieve during our time together? What is your intention for DHP? *
Are you ready to dedicate your time and energy towards your healing, growth, and expansion for the duration of the program? *
What do you believe is standing in the way of your health and wellbeing? *
Are you ready to change it? *
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Anything else I should know? *
Did anyone refer you to the program (if so, please say who)? Or how did you find out about it? *
A copy of your responses will be emailed to the address you provided.
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