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Worksheet

[Application Form] Reclaim: 1-1 Sex & Intimacy Coaching for Women

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This this is the application for private coaching where I am devoted to supporting you step into the most liberated, sensual, conscious loving version of yourself. Celebrating you for being here, there's a divine reason you are!

I am excited to learn more about you. Please answer ALL of the questions in this form before you hit save.

First, let's start with...

1. ➜

What is your full name?

2. ➜

What is your email?

3. ➜

What's your phone number?

4. ➜

What is your IG handle?

Write N/A if you do not have IG account

5. ➜

What past challenges, traumas or negatives stories have you had with intimacy, self-love and sexuality? How have these affected your life?

6. ➜

Tell me more about your life! What does your current relationship to your body, sex life, relationships and pleasure look like?

7. ➜

I would love to learn more about your healing journey so far. What have you explored to support your healing in the past? Have you worked with any coaches, therapists, holistic healers etc before?

8. ➜

Why is NOW the time? Why are you ready to say YES to yourself now to heal?

9. ➜

Tell me, what are the top three things you’d most like to transform in your sexuality, intimate life, and relationships as result of working with me 1:1?

10. ➜

What changed in your sexuality & love life during the last 6 months?

Imagine that it's 6 months from now and we have ended our work together.

You're reflecting upon the beautiful changes in your life…

You're thinking, "Wow, that went better than I could have hoped for and I am in such a good space!"

What changed in your sexuality & love life during the last 6 months?

Paint your ideal life looking back from future

11. ➜

Is there anything you're nervous or excited about that you want me to know?

12. ➜

Are you able to commit to this?

My one on one coaching journeys are generally 4-6 months long, completely transformative, devotional and a significant investment in YOU.

Working with me privately to upgrade your sexuality, self-love, and pleasure is an investment that will support all areas all of your life, including your relationships, body love & intimacy.

The 1:1 sessions are 60-90min long and include somatic experiences, inner child work and guided meditations.

I work only with very few people at a time as this is a very deep and intimate container. Thus, I loving working with high achieving women who are ready to say YES to pleasure and level up their life

If this is you, we'll be working together for 5-6 months and the investment is $3800-$4500 CAD.

Are you able to commit to this?

13. ➜

Is there anyone in your life that this coaching journey will impact positively? Do you have support to make this investment?

14. ➜

If you are able to make this investment in yourself, when would you like to start?

15. ➜

Book a call

I am here to help!

Let's set a time to chat about how I can help you get what you desire. These calls are always free, super nourishing and I answer any questions that you have.

Please answer all of the questions above before you book our call

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