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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 life and business? What’s working, and what feels out of alignment?

Question 5 of 11

What is your ultimate vision for your life, business, and wealth? 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

This coaching is an exclusive, high-touch experience that requires a serious commitment, both energetically and financially.

 

The investment for this coaching is $10k/month (shorter or longer packages and single sessions also available). If approved, are you financially prepared to invest at this level?

(Select all that apply)
A

Yes, I have the resources and I’m ready to invest in myself at this level.

B

Yes, and I would like to explore flexible payment options if available.

C

No, I am not financially prepared to invest at this level at this time.

Question 10 of 11

If approved, are you ready to begin 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