Coaching Enquiry

Coaching Application

Hey Friend! I’m excited you’re here and ready to fill out an application to work with me privately. This is huge! The next step is to fill out the application below and I will get in touch with you within 24 hours. Let’s get started…

First name

Last name

E-mail

What are your current health issues?

What is the biggest challenge holding you back from perfect health?

What are your main health goals?

What else have you tried to resolve your health issues & achieve your health goals?

On a scale from 1-10, how important is learning and implementing the holistic skills to transform your health?

Are you interested in private Holistic Health Coaching or Quantum Biofeedback? (Note that Health Coaching already includes Quantum Biofeedback.)

Holistic Health Coaching

Quantum Biofeedback

Where would you like to see yourself at the end of our 3-month coaching?

My Custom Coaching is $2000 and Quantum Biofeedback is $300. What kind of payment plan can you commit to?

I can pay in full

I'd like to talk about a payment plan

Do you have any questions for me?

Yes, please send me the information about your Coaching Programs.

Submit

Thank You!

I will email you back to answer your questions, ask my questions, to schedule a call if necessary, and determine if we are a good fit to work together.

Let’s do this!!