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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 and/or business? What’s working, and what feels out of alignment?
Question 5 of 11
What is your ultimate vision for your life and 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 my work is right for you at this stage of your journey?
Question 9 of 11
My private retainer is an exclusive, high-touch experience that requires a serious commitment, both energetically and financially.
Please select your desired level of support
I am looking for a one-time session, by budget is $500-$1,000
I am looking for short-term support. My budget is $2,000-$5,000
I am looking for medium-term support. My budget is $5,000-$10,000
I am looking for long-term support. My budget is $10,000+
Question 10 of 11
If approved, are you financially prepared to invest and ready to begin immediately?
Yes
Not at this time
Question 11 of 11
Is there anything else you’d like me to know?