Your Name (required)

Your Email (required)

How would you describe yourself in 1-2 sentences?

What are your top 3 desires for yourself in the upcoming year?

What are the biggest obstacles in fulfilling your desires?

Where do you see yourself in 5 years?

Have you worked with a coach before?

What are the top 3 issues you would want to work with me on?
Feeling disconnected from your sensuality & desiresFeeling disconnected from your femininity & your bodySuspected food intolerancesHow to eat intuitivelyPleasurable healthy livingHormonal Imbalance (PCOS, endometriosis, thyroid conditions etc)Other

How committed are you on a scale of 1 to 10 to the life you desire?