ILLUMINATE Application
Thank you for showing an interest in the ILLUMINATE programme. Please complete this form to ensure suitability for this transformational journey.
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Full Name *
Email address *
Where do you live? *
What is your age category? *
Have you ever worked with a coach or therapist before? If so, please give details. *
What are your 3 biggest challenges regarding stress? *
What are your 3 main goals for the year ahead? *
What would be your desired outcome from completing the ILLUMINATE programme? *
If accepted, what are you willing to invest, to finally transform your stress and achieve a healthier & happier life? (this will help indicate if this programme or another service, is most appropriate for you at the moment). *
If accepted, how much time per week are you willing to dedicate to transform your stress/anxiety/depression? (this will help indicate if this programme or another service, is most appropriate for you at the moment). *
Do you follow Nikki Nev Coaching on Social Media? *
Required
Would you like to be added to the mailing list to receive the weekly Newsletter? *
Has ILLUMINATE been recommended to you by someone? (if so, please state who).
Is there anything else you'd like to mention?
Thank you so much for applying for a place on the ILLUMINATE programme. I'll be in touch soon to organise a zoom chat, but before you go, please let me know what your favourite positive word is! *
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