Work With Me (1-4 months)

Customized Long-term Programs and Packages

This intake form is an important part of the process as it helps me get a picture of where you’re at and what’s going on in your life right now.

Please describe what you have in mind/need + your budget/what you’ve planned to invest and then we’ll talk about it together. Please be as specific as you can.

The duration can be between 1 to 4 months and include unlimited Email/WhatsApp contact, or be without communication in between our talks if you prefer that, and the sessions can be held weekly, bi-weekly, every 3 weeks or once a month, or sporadically/when needed, and be with or without energy work/healing included.

Simply let me know what you have in mind/need and we’ll take it from there.

I look forward to supporting you in your next level/chapter!

Get in touch below:

Your Name:

Your Email:

How did you hear about me/find me?

Please tell me a little about yourself, like: Are you married or single? Any kids? How old are you? What is your occupation?

Share a little bit about your life/what's going on; your current challenges + your hopes, dreams, and desires:

Do you have an idea of how you'd like to work with me? (Duration, etc.) Please share your thoughts:

On a scale of 1 to 10, how happy are you with/in your life right now? (How is your overall daily level of well-being?)

On a scale of 1 to 10, how would you rate your current/overall stress levels? (=Frustration, fear, worry, etc.) - What is causing you the distress?

What are the 3 main things in your life you’d most like to shift and/or bring change to?

Where do you live (city/country), and when would you be ready to begin?

Is there anything else you think I should know about you or that you would like to share with me before we connect?

I have read and agree to the Terms of Service.

This is an application form. Before booking, we’ll have a short chat first to see if we’re a good match.

All information (including our chat/session(s) will be kept confidential.

Terms and Conditions.