Interest Form 1:1 Coaching

Hi lovely, thanks for filling out this form! I'm glad to have you here.

You're taking your time filling out this form, so you're either:

1. Feeling a call to embark on a 1:1 coaching journey together and want to know more about my pricing and what coaching with me can look like.

2. You feel a ✨FULL BODY YES ✨ to work together and would like to know how to sign up.

Whatever it may be, you're in the right place. 

Please fill out this form to the best of your abilities and take your time. The more relaxed the better ;)

After you've submitted, I will contact you to schedule a clarity call. Please come prepared with any questions you might have so I can serve you best.

If you are interest in joining the soft launch of my pilot program CONFIDENCE IN FEMININITY - THE WOMAN'S WAY, please let me know and I'll send you the right form. 

With love,

Julia 🌺



Sign in to Google to save your progress. Learn more
Email *
Your first and last name *

What draws you towards working together?

 *

What are the top 3 things you would like to transform during our 1:1 sessions?

 *
What is holding you back from transforming this right now?
 *

Why is it important for you to address this topic now? 

 *
What does your life look like when this issue no longer controls you?
 *
Are you able and willing to invest in your personal transformation? At the moment, the price for my private coaching container 2640€ (VAT included) or 1320 € with a 50% discount if you want to join my testimonial program (VAT included). 
 *
What would be important for you in working together? *
On a scale of 1-10 (1=low, 10=high), how eager are you to work on the points you've mentioned? *
Have you been diagnosed with psychological disorders?
 *
Have you ever suffered a shock trauma in your life (e.g. abuse, violent experiences or life-threatening situations)? If so, have you already addressed it in therapy?
 *
Is there anything else you'd like to share with me (pre-existing conditions, pregnancy, medications, etc.)?
 *
Medical Disclaimer:

The offer I am making is aimed at individuals who are generally in good health. No promises are made as to healing or success. In the event of complaints or illnesses, my clients are advised to contact appropriate doctors, alternative practitioners, psychologists or psychotherapists. I am not a licensed psychotherapist and my coaching is never intended to substitute psychotherapy. I only work with clients who confirm their mental health and stability. 

 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms