Application: Beautify in Four Seasons

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This program is for those who are committed to making changes that will last long term. Are you this person? It would be a pleasure to be your coach if you are ready to step into the next version of yourself.

This application is important to learn your desired outcomes from a complete lifestyle shift. This information will help us, both, learn if this is a good fit for our work together.

With transformation comes new experiences. In this work, I will offer bespoke support curated to your needs. This is deeply personal work as we will co-create a unique outcome based upon your heart's desires. It is important to better understand where you are now and where you want to be in nine months.

Please fill in the form completely so we may have an informed conversation when we meet.

Email *

Please watch this message to learn more about why an application is helpful in this process.

Name *

First and last name

Email *

What are your three main concerns about your health right now. *

Lack of energy

Overweight

Diagnosed illness

Menopause

Nutrition

Exercise

Addiction

Required

What are your top three beauty concerns right now? *

Hair loss

Fine Lines and Wrinkles

Body Shaping (including features like these: cellulite, belly bloat, flabby arms, varicose veins)

Double Chin / Turkey Neck

Overall Aging Concerns

Skin Care

Smile (lip lines, teeth appearance, stressed mouth)

Wardrobe and Presentation

How do you want to nourish yourself? *

I want to eat more fresh vegetables and fruits.

I want to drink less coffee.

I want to be better connected with my body's hunger and satiation signals.

I want to stop giving into my cravings.

I want to be around positive people.

I want to include more fun hobbies and social activities in my life.

I want to have more time for self-care activities.

Please explain how you move your body right now. Exercise? Gardening? Please include all of the activities you take part in on a weekly or monthly basis. *

Please explain your current mind, body, spirit connection. How do you hope to enhance this in the coming 9 months? *

What is your experience with meditation? *

What is your deepest concern to transform or your personal wish to receive in this nine month program? *

A copy of your responses will be emailed to the address you provided.

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