Welcome!
Do fill out this application to help me understand you a little better.
I very much look forward to meeting you!
Click the button below to get started.
Question 1 of 15
1. Name
Question 2 of 15
2. Email
Question 3 of 15
3. Contact Number
(Please include the country code, as needed. E.g. +65)
Question 4 of 15
4. Are you a...
Business Owner / Side Hustle Owner
Employed Full Time
Employed Part Time
Caretaker/Stay-at-home Parent
Side Hustle Owner
Not Employed
Question 5 of 15
5. I am applying as a
Patient
Practitioner
Possibly Both
Question 6 of 15
6. What would you consider your current health and wellbeing to be?
Poor. I don't take care of my health.
Okay, but not great. Sometimes I do healthy things.
Decent. I do my best to keep to a routine.
Great. I have an optimal routine that works for me.
Question 7 of 15
7. What are your 3 biggest struggles/obstacles with your health and wellbeing?
Question 8 of 15
8. What is the biggest change that you want to see / feel in the next 3 months?
Question 9 of 15
9. How many hours a week do you spend on your personal development?
(Books, podcasts, audibles, courses, etc.)
None
1-2 hours / week
3-5 hours / week
Daily
Question 10 of 15
10. What best describes your clarity in direction?
No clue what I'm doing and why.
I have an idea on what I want to do, but don't know where to start.
I don't want much, I just want to be okay.
I know exactly where I want to go and how I'm going to get there.
Question 11 of 15
11. On a scale of 1-10, what is your level of commitment to achieving that change (10 being SUPER committed)
1
2
3
4
5
6
7
8
9
10
Question 12 of 15
12. What would be one thing you'd like to gain from this call with me?
Question 13 of 15
13. If you are a good fit to work with me...
I have the financial resources to invest in improving my health, biz, energy and confidence. I'm ready to stop delaying and change my life!
I will find the resources to invest in my health as I know this will also improve other areas of my life.
I am not looking for any coaching, just applying for a one-off consult.
Question 14 of 15
14. If the need arises, do reschedule using your calendly confirmation email in good time.
Last minute reschedules, cancellations or no-shows will incur the full fee of the consult
I agree
Question 15 of 15
15. Last question: Tell me one thing that's awesome or super unique about you!