Application Form

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🔹 Which program are you applying for?

Essential Reset – Foundation for Lasting Change
The Elevated Experience – Deep Mindset & Energy Mastery
The Ultimate Transformation – Exclusive 1:1 Intensive
1:1 Coaching

💡 Let’s get specific. What part of your life feels the most overwhelming?

Is it your work situation (burnout, pressure, lack of fulfillment)? Is it your emotions (stress, negative thoughts, feeling stuck)? Is it your relationships (disconnection from family, partner, or self)? ✍️ Describe what is draining you the most right now and how it affects your daily life.

How long have you felt this way, and what has it cost you?

Has this been a recent struggle, or have you felt this way for months or even years?

How has this impacted your energy, motivation, and ability to enjoy life?

✍️ Take a moment to reflect—what is this truly costing you? (Emotionally, mentally, physically, or even financially?)

What have you missed out on because of these struggles?

(Time with loved ones? Career growth? Feeling at peace?)

✍️ Take a moment to reflect—what is this truly costing you?

(Emotionally, mentally, physically, or even financially?)

Have you worked with coaches, therapists, or courses?

What felt helpful, even if only temporarily? What didn’t work, and why?

Imagine your life 30 days from now—what would success in this program look like for you?

(Be specific: How would you feel? What would change?)

Why now? Why are you choosing to apply for this transformation today?

Name of choosing

I understand that this program requires real commitment and personal accountability.

I am ready to invest in my transformation.