Apply Now Name * First Name Last Name Email * Phone * Country (###) ### #### Where do you currently live? * include time zone How did we find one another? Tell me what you are struggling with and what you feel is keeping you from achieving want you want? How do you feel these challenges have held you back? * What have you done or are currently doing to overcomes these obstacles? * What are 1-3 goals, dreams you have for yourself the next 6-12 months? * Is there anything standing in the way of you achieving your goals (time, money, lack of support?) * 5 Element Wellth the foundation of our work. Healthy relationships to physical health, mindset, emotional freedom, spiritual growth and financial freedom. What area are you ready to work on? * Have you experienced any major life events recently? If Yes, Please explain: * What are 1-3 long term goals you have for 1-5 years? * What do you enjoy most in life? * If you could wave a magic wand, what 3 things would you change in your life right now. I invite you to Dream Big. * Who will be supportive of you to make these changes? * How do you feel a coach can help you? * The service I provide and experience we co-create is profoundly transformation and requires a commitment to you and your intentions, a willingness to receive support, and desire to create change. Are you ready for this at this time in your life? Please Explain. If you are willing to invest in yourself to expand personally and professionally, created your sacred business, embody wellth and prosperity, and we are a good fit to work together, are you ready to make an investment in your life at this time? * Anything else you'd like to add? If time and money were no object what would you create? * What is your big dream? What are you a stand for? What impact do you want to create? Included everything. Who you will serve, the impact, how you will feel. Why Does this matter. Have you worked with a coach or mentor before? If yes, what worked, what didnt work? What was your experience like? * Time and Money can show up as limiting beliefs and obstacles before we step into expansion. Are you ready to shift your mindset and be resourceful in overcoming these blocks? * Yes I am ready to be resourceful I am not ready for this big shift yet Thank you!
