1:1 Support Application Form
Thank you for showing up for yourself! Please answer the following questions so I can understand what you're needing support with. The more detail you provide, the easier it is for me to understand what you need support with and if we're a good match! If there are no available spaces for 1:1 coaching, you can be added to the waitlist.
๐Ÿ’› Martina
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Email *
Full Name *
Email *
Where do you currently live?
(This helps to determine timezone differences.)
How did you hear about my work? *
Answer this question in one or two simple sentences โ€“ and don't over think it.ย What is it that you want?
Why do you want to work with me? What are your honest goals and intentions?
 *
What do you think is getting in the way of you achieving these goals and intentions?
(Don't worry if you don't know. If you had to guess, what might it be?)
 *
Have you noticed any particular patterns that seem to keep happening in your life that you would like to change? If so, what are they? *
If these patterns could change, how would your life be better as a result? *
Describe your ideal future self after we have worked together? How do you feel, think and act? *
Why is NOW the best time to work with me to make changes in your life? *
What (if any) other support have you tried before?
(eg. therapy, hypnotherapy, EMDR, mindset coaching, etc.) *
Are you coachable?ย 
(This means you are willing to be open-minded and look at things from a different perspective than you might be used to. It means you are ready to really listen, take responsibility for your own life and actively participate in your growth.)
 *
Do you have any of the following conditions?
(This is relevant for undergoing any hypnotherapy work with me so this is why I need to ask.)
 *
Required
Are you truly ready to invest in yourself?
(This includes financially and energetically.)
 *
Is there anything else you want to tell me or you think I should know?
Thank You!
Thank you for filling out this application. It's the first powerful step to making impactful changes in your life. Once I have read the application, I will get in touch to discuss next steps. If I am fully booked, I will offer you space on the waiting list.

๐Ÿ’›ย Martinaย 

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