Fierce & Energised Application
Celebrating you so much right now by the fact you're even filling this application out!

Once you submit this application you'll receive an email within 48 hours to let you know if you've been accepted into this programme. There will be COMPLETE support from Georgia the entire way through.
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Email *
First name *
Last name *
What's your Instagram handle? *
Tell me about you + your current health & confidence! *
Where do you struggle the most when it comes to feeling like the most confident, vibrant version of you? Please be specific. *
Where would you rate your self confidence on a scale of 1-10? (10 being the highest.) *
Why did you feel pulled to this programme in particular? *
What specific results would you like to get from this programme? *
Why is this important to you to get those results? *
Which of these do you struggle with? Please tick all that apply. *
Required
 Give a description of your daily self care practice: *
What outcome do you want to experience?  (This is what you actually want, not what you don’t want) Please be specific. *
If you had to choose ONE most important outcome from this programme, what would that be? *
What’s your ultimate desire? What is your big dream and desire for your life? To feel free and financially secure? To travel the world with a partner? Don’t hold back! (Please be as detailed as possible with your answer.) *
Do you need to hop on a call with Georgia to discuss this programme further? *
The cost of this programme is £1111 paid in full or a payment plan of £388 x 3, or £222 x 6. Which option would suit you best? *
How ready are you to become the most FIERCE & ENERGISED version of you? *
Thanks so much! I'll be in touch soon via email! Love Georgia xxx
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