Burnout to Bliss 6-Month Coaching Application
WHOO WHOO!

I'm so excited you're here. That tells me that you have BIG dreams & goals, but you know that your current way of approaching them is leading you closer to burnout rather than fulfillment.

My goal in working together is to help you play BIGGER by learning how to bounce back faster through embodied momentum.

It's time to stop ignoring how your body feels in order to hit a goal - that is the old way and not sustainable long-term!

Through this program you'll learn how to self-regulate, build an arsenal of holistic tools, and learn how to partner with your body rather than be at war with her so you can feel bliss even in challenging seasons.

Take your time and have fun filling out the questions below! Dream big and know that everything is in reach if you believe it (even if only a part of you believes it for now). Once I review your application, I will contact you within 48 hours to schedule your Alignment Session if I believe I have the tools and resources to guide you!

*The Alignment Session is a 90-minute phone session that is $297. If we move forward together this will be applied to your program balance.

I can NOT wait to begin this journey with you. <3

xoxo,
Samantha

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Email *
Name *
Best Contact Number *
Profession
What are five things you LOVE about your life? *
Which area of life do you feel like you're most dropping the ball in?
Clear selection
How is this impacting your ability to play bigger in life?
Where, if at all, do you feel there is misalignment in your life? Between what is happening in your external world and what you know to be true for yourself internally? *
If you sensed misalignment above, what feelings or sensations go along with that for you? *
On the scale below, how far apart do your inner and outer worlds feel? *
Everything in my life feels great and in alignment
I feel like two completely separate people in how I show up externally and how I feel behind closed doors
I desire feeling more ______, ________, and _______ in my life. *
What would shift or become possible for you in the next year if you felt more of what you desired to feel? *
With this new shift, what tangible goals would you like to achieve in the next 6 months? *
On a scale of 1-10 (10 being 200%+) how committed are you to making these goals happen for yourself? *
First challenge I'm out
I want it bad
Have you ever felt this way in the past? *
If yes, what worked well for you then? What allowed you to feel that way in your life? *
What obstacles, challenges, or struggles are most present in your life that keep you from being where you'd like to be? *
In what ways do you think I am the coach to help you attain these goals? *
Are you willing to invest time, energy, & financial resources to create this change in your life right now? What let's you know now is the time to do this?
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If we were to work together, when would you ideally like to begin?
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What time of day would be best for a 90-minute call? You will want to be in a quiet space with no distractions in order for this work to be most impactful.
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Anything else that you would like me to know while reviewing your application? *
A copy of your responses will be emailed to the address you provided.
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