Apply now Welcome to a Coaching Program ApplicationTake the first step by completing the application below. Name * First Name Last Name Email * Phone (###) ### #### Instagram Which area feels most important for you to work on right now? * Body (health habits, food, movement) Mind (clarity, overthinking, focus) Emotions (balance, resilience, self-love) Energy (stress, rest, vitality) Purpose (direction, motivation, meaning) Spirit (intuition, inner peace, connection) Integration (balancing all areas) All of the above What challenges are you currently facing? * (examples: stress, disconnection, emotional eating, lack of clarity, feeling stuck, fatigue, repeating patterns, etc.) What change do you wish to create in your life through this journey? * (examples: more balance, deeper confidence, healthier routines, freedom from overthinking, living with purpose, etc.) How connected do you feel to yourself across mind, body, emotions, energy, spirit, and purpose? * Deeply connected — I live in alignment most of the time Somewhat connected — I touch into it but often lose balance Rarely connected — I feel mostly in my head or on autopilot Disconnected — I want to rebuild that connection from the ground up Are you ready to take responsibility for your transformation? * Yes, I’m ready to take action and grow No, I will close this form now Anything else you want to share: Thank you!
