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One on One or Couples Mentorship and Coaching with Nina Camille
Aloha freedom lover! I am so excited and honored that you made it here. I'd love to get to know a little bit about you. Please fill out the confidential form below and we will reach out to schedule a discovery session with Nina at your convenience. Your answers will never be shared with anyone outside our organization. Thank you for being here, we look forward to connecting with you!
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Email
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Your email
Let's start with your full name(s):
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Your answer
I'm so honored you are curious about working together. I'd love to know:
What is the biggest result you'd love to see in your journey through our work together?
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Your answer
What type of support do you feel would be most valuable to you at this time? Check all that apply.
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More structure/organization in your life + routines
Emotional support
Healing your trauma and past wounds
Expanding your power and spiritual gifts
Relational healing
Freedom of expression and being seen
A space to be held in your bigness, because you hold a lot for others
Balance of masculine/feminine energy, polarity + inner union
Business / professional support
Education and training around trauma healing
Being in a group of like-minded peers to inspire, expand & support you
Feeling a deeper sense of purpose and service
Mindset + strategy to get where you want to go in life
Learning how to facilitate workshops, programs, circles & retreats
Mental health support
Manifestation techniques, practices + rituals
Spiritual practice, connection to higher power/Self/God/Guides/Source/Universe/Spirit team
Intuitive/channeled guidance + healing work
Consistency in your Self-love practice + rituals
Embodiment + integration practices for the knowledge you already have
You want to learn how to powerfully hold space for others and learn the transformational healing arts
Other:
Required
What does healing mean to you?
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Your answer
What would success look and feel like after our work together? Be specific.
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Your answer
What is the biggest pain point you are currently facing, and what have you done to meet it and dissolve it so far? What's worked? What hasn't worked?
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Your answer
Share three things that you have mastered in life so far in your life or relationship:
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Your answer
This deep-dive experience is for you and your heart of devotion and service. Are you ready to meet your edges so you can be the leader and lover we need today? Are you committed to creating a world where all beings everywhere are happy, free, loved and resourced?
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Yes, let's do this team!
Yes, but I don't know how we'll get there
No, I just want it for myself
What is your big, secret dream?
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Your answer
What is holding you back the most?
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Your answer
Who do you want to help most? What feels like it is calling you now? What is standing in the way of this now? Tell us a little about your mission here.
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Your answer
Describe for me the health of your relationships.
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Your answer
In what environments do you tend to thrive most?
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Your answer
How do you learn best? Check all that apply.
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Visual, reading, studying on my own
Listening, auditory, watching content or videos of someone teaching or speaking, podcasts
Practicing, doing it on my own, workshops, live, in-person
Other:
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Have you ever worked with a coach, healer or mentor before? Attended group programs? Retreats?
Check all that apply.
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I've worked with a coach and/or mentor
I've had healing sessions through reiki, energy work, shamans or other healers
I've done talk therapy
I've done somatic therapy
I've attended a retreat (or multiple)
I've participated in a group program (or multiple)
I am a coach, healer, therapist or mentor myself
I am a retreat leader
I lead group programs
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Do you feel ready to receive mentorship and support to experience the results, feelings and opportunities that are for you in this life?
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Yes, I trust myself to take this leap!
Yes, and I'm nervous about the funds
Yes, and I need to get creative to make it happen
No, I'm not ready to invest in myself and my growth at this time
How did you find out about working with me?
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Instagram
Facebook
I have already participated in Experience Freedom or worked with Nina 1:1
I know Nina personally
I've attended an online offering from Nina (a free masterclass, the Raise Your Vibration Challenge, the Virtual Retreat, etc)
I've taken Nina's yoga class and met her there
Podcast, talk or workshop
A friend referred me
Can't remember, but I'm here now!
Other:
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Amazing! Now, let us know your phone number and the best way to get ahold of you to schedule a chat with Nina (WhatsApp, text, email, etc):
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Your answer
As part of our work together, you have the option of exploring a one-day retreat with Nina in person. Is this something you'd like to look into, or do you prefer Zoom only?
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Yes, I'd love to do some in-person work together.
No, I'd prefer Zoom sessions only.
I'm not sure yet.
Briefly share anything else you'd like me to know before we meet:
Your answer
In this relationship, we get all get the most powerful miracles imaginable when we show up and plays full out. How willing are you to play all-in and receive big results?
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Just a tiny bit ready.
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So ready!
A copy of your responses will be emailed to the address you provided.
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