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Private Mentorship w/Roxy Application 2025

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Question 1 of 11

Full Name

Question 2 of 11

Email

Question 3 of 11

What is your Instagram handle?

Question 4 of 11

What is your current reality in your life, relationship and/or business? What’s working, and what feels out of alignment?

Question 5 of 11

What is your ultimate vision for your life, relationship and/or business? Describe your highest-level success.

Question 6 of 11

What is currently keeping you from living this reality? What patterns, beliefs, or actions are blocking you?

Question 7 of 11

Have you worked with a coach or mentor on this issue before? If so, what worked for you, and what didn’t?

Question 8 of 11

Why do you feel I am the right mentor for you at this stage of your journey?

Question 9 of 11

Coaching with Roxy is an exclusive, high-touch experience that requires a serious commitment, both energetically and financially.

 

There are several levels of investment for this coaching, please select the option that best describes what you seek.

(Select all that apply)
A

One-hour deep dive Zoom session (includes call recording) $1,000

B

One-hour deep dive Zoom session PLUS 5 days in Telegram for continued support $1,500

C

One month of coaching: Includes 2 deep dive Zoom sessions, PLUS M-F Telegram support $5,000/month

D

VIP Month - Zoom calls as needed by you, PLUS 24/7 access to me in Telegram (includes instant access to The 360˚ Method) $10,000/month

E

PLATINUM VIP - Become my ONLY client for the entire month. I clear my schedule of all private clients and give 100% of my attention to you. $100k/month

Question 10 of 11

If approved, are you financially prepared to invest and ready to begin coaching immediately?

A

Yes

B

Not at this time

Question 11 of 11

Is there anything else you’d like me to know?

Confirm and Submit