Private Coaching Application
Please fill out this form if you are interested in working with me 1:1 -- if you haven't scheduled your Curiosity Call chat, please DM me on Instagram so we can set it up. 
Email *
What is your name? *
What are you wanting to step into in your life? 
(goals, desires, dreams) 
What are you ready to claim in your life?
 *
At this point in your journey, can you pinpoint what has been holding you back from achieving your goals? 
(eg: possible fears, a recurring pattern, etc)
On a scale of 1 (low) to 10 (high) how committed are you to making these life changes?
Not Committed
SUPER COMMITTED
Clear selection
Have you done 1:1 coaching before? 
(If so, what worked for you and what didn't work for you?)
Are you ready to invest 4 figures (USD) in yourself?
Clear selection
Have you done Self-Development work before? If so what?
Do you consider yourself Spiritual? Religious? Describe your relationship with The Universe. 

(Feel free to go as detailed as you'd like; some of my clients have shared what they were born into vs what they believe now)
What do you do for work, and do you feel it is connected to your life purpose?
How open are you to Human Design and Gene Keys?
Clear selection
If you do wish to include an element of HD + GK to our work: what is your birthday, time, and location? 
(or just email me your chart)
How did you hear about me? (Did anyone refer you?)
What is your favorite book (can be fiction or non-fiction!) ?
Anything else you wish for me to know before we meet?
A copy of your responses will be emailed to the address you provided.
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