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WOMANs Coaching Application Form
This is a quick form to help me understand what is coming up for you.
Give as much detail as you feel.
Please ensure when you are submitting this application form that you have reviewed the pricing plans and are aware of the monthly plans & costs associated with them.
https://www.spiralwithniamh.com/wombon
* Indicates required question
Email
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Your email
Where do you feel mostly blocked in life?
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Your answer
Do you have boundaries with others or always put themselves first?
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Your answer
Do you have issues with your menstrual cycle?
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Your answer
How long are you signing up for? (This helps with providing you with a plan)
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3 months
6 months
12 months
Do you find time for yourself during each day or even once a week?
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Your answer
If not, why? (If yes tell me how often)
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Your answer
How is your relationship to your body?
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Your answer
How does intimacy with yourself and/or your partner feel?
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Your answer
How is your sexual desire/libido?
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Your answer
Are you experiencing any issues sexually? Or have past trauma?
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Your answer
Do you find it difficult to orgasm or switch your head off during sex?
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Your answer
Do you feel numb to your vulva?
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Your answer
Do you take time to self pleasure?
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Your answer
Did these questions make you uncomfortable or feel resistance when reading them?
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Your answer
What price point are you signing up for?
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The Divine Plan (3 calls a month)
The Soul Plan (2 calls a month)
Any other questions you have? I will email you with the answers.
Your answer
LAST STEP: Sign up to my Newsletter
here
Your answer
Send me a copy of my responses.
Submit
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