Conscious Warrior Queen 1:1 Coaching & Mentorship

Intake Form to Become a Conscious Warrior Queen Student

I am beyond excited that you have taken the step to fill out this application!

Please note that I only take on serious individuals who want help getting themselves back together again. With such an intense focus on all aspects of growth for myself and my clients, space is very limited – currently, there’s room for just thirteen clients total! I am committed to helping people find their path, and I believe in motivating you along your journey back to the Inner You.

  1. To see if this program is right for you, I’ve included a couple of questions below for you to answer as best as you can. Please make sure you take your time in answering EVERY SINGLE question.
  2. Once your application has been approved, I will reach out to you within 24-48 hours and schedule your free 60-minute call. 
  3. During our call we’ll discuss your responses, talk a little more about you and your goals, and I’ll tell you about how my program will help become an empowered, badass version of yourself!

How did you hear about my program?

What emotions are you most familiar with? What emotions have you experienced the most throughout your life and have struggled with? Check off 3-5 that apply.

Emotional intelligence skills and wellness are a critical component of teaching my clients how to achieve their goals because we simply can't know what wasn't taught to us. What are some topics/skills you would like to learn about and/or focus on improving? Check as many as apply.

Are you willing and ready to invest in yourself to heal yourself, find your authentic self, and feel whole again?

15 + 5 =


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