LET'S CONNECT

Tell me about where you are currently at with your beauty + wellness journey? Consider everything: your nutrition, lifestyle, mindset, beauty routines and skin concerns.*

Do you have any major health concerns or have you been diagnosed with any physical or mental illness?*
Yes
No

If you answered YES to the previous question, please explain:

What major beauty + wellness stressors/challenges are your struggling with right now? How have these stressors/challenges held you back in your life?*

How long have you been struggling with this?*
1-6 months
6 months-1.5 years
1.5 -5 years
5 years or more

What have you done in the past to overcome your obstacles?*

What are the top 3 beauty + wellness goals you are striving to achieve right now?*

Being honest with yourself, what is stopping you from hitting these goals on your own? The more specific you are here, the faster we’ll get you clarity in our discovery session.*

Which areas of your life do you feel need your greatest focus right now? Check all that apply.*
Energy
Physical Health
Skin Health
Limiting Beliefs
Career
Relationships
Family
Productivity
Confidence
Nutrition
Mental Focus
Other

If you have ever invested in yourself with an online coach before what did or didn't work for you?*

If you looked back on your life 3 months from now, what would need to happen for it to be your most amazing 3 months ever?*

Describe why you are seeking coaching/mentorship at this point in your life.*

Not
Committed

Very
Committed

Do you believe your personal potential would be achieved significantly faster with an expert beauty + wellness coach?* Yes
No

Are you Ok with being held accountable to a higher standard of achievement by someone who has mastered the principles of beauty + wellness?* Yes
No

If you are accepted, how soon can you start?*
ASAP! Let's go!
3-4 weeks from now
1-2 months from now

Tell me why are you interested in working with me?*

Once your form is complete, you'll be provided a link to my calendar to book a call. Please add this to your calendar and be sure to show up for this call. It will take place on Zoom video; please be seated in a quiet place with a computer. Do not take this call while driving. If you need to reschedule your call, please do so within 24 hours. Any 'no-shows' may not be rescheduled. Type YES to confirm.*

How did you hear about me? Check all that apply.*
I follow you on Instagram
I follow you on Facebook
I'm a past makeup client
I attended a workshop you facilitated
Google
Referral
Other

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