Coaching + Mentorship Application 

Please fill out this form and we will get back to you within 48 hours.  Serious inquiries only please! For more about Alexandra's work please have a look at her website: alexandraroxo.com.

Big Love,

Alexandra Roxo Team

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Email *
Name, age, occupation, and anything else you wish to share.  *
How did you find me?  If via a referral please let me know who.
Please let us know your phone number. (In case of day-of rescheduling, or if we can't reach you via email.) *
What catalyzed you to reach out?  What are your goals or desires for working together? *
Have you done any coaching before? If so, please share what you loved about it and what worked for you and what you didn't like or what didn't work.  *
Do you have the financial means and time in your life to invest in 1:1 coaching at this time? *
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