Create & Elevate Coaching Journey 🌱

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Hey friend! Firstly, I want to acknowledge you for showing an interest and curiosity in this journey that is all for and about YOU. Something within you is guiding you to seek and has nudged you into exploring further, and it has brought you here. So welcome!

Please fill out the questions below as it will give you the opportunity to reflect on your currently situation, your dreams and help me get an insight into how I can be of service.

Once completed, you will receive an email from me within 48 hours with further information on the next steps.

Your Dream. My Mission.

I believe in you!

Here's to new possibilities, exploration and creation 🧡

Let's Create & Elevate 🦋

With Love and Gratitude,

Your Coach, Mayce

Full Name *

Email *

Social media handles (IG/LinkedIn/FB/Website...)

Your occupation or area of expertise

How do you describe your ability/disability status? *

A sensory impairment (e.g. vision or hearing)

A learning disability (e.g, ADHD, dyslexia)

A long-term medical illness (e.g., epilepsy, fibromyalgia)

A mobility impairment

A mental disorder

A temporary impairment due to illness or injury (e.g., broken ankle, surgery)

A disability or impairment not listed above

I do not identify with a disability or impairment

I prefer not say

Other:

Are you currently experiencing symptoms of depression? *

Yes

Are you currently experiencing any symptoms of anxiety? *

Yes

What do you want most out of your life right now? Including your top 3 desires for the next 3-6 months. *

What's your vision? What do you desire the most? *

What's your why? What is the real reason you want to achieve that vision for yourself? *

What's getting in the way of you achieving this vision? What is your biggest struggle or roadblock when it comes to achieving this vision for yourself? What's holding you back from your success? *

How is this roadblock and/or struggle impacting your everyday life and progress towards your goal? *

What have you tried so far to overcome these struggles/roadblocks? *

How would you feel about yourself and your life if you could overcome and move beyond your roadblocks? *

What level of TIME and COMMITMENT would you be willing to invest to see the results you desire? *

This 1:1 coaching journey requires an investment of time, money, and energy. Are you ready to invest in your mindset, well-being, and transformation?

Before you invest, we'll hop on a call to ensure this is the best fit possible.

Yes, paid in full ($1800)

Yes, pay in half ($900)

Yes, with 3-month payment plan of $600

Other:

Clear selection

Is there anything else you would like to share with me?

Thank you for your cooperation in completing this questionnaire. The information you provide here will be immensely helpful in envisioning our path together, and how I can serve you powerfully. Please know that privacy is extremely important to me, the feedback will solely be used for our work together and will not be exploited.

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