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The Conscious Lover Application
**Please read all the way through before applying**
This application should take 20-25 minutes to complete. Please answer thoroughly so we can get a feel for you + your energy :)
I'm so thrilled that you're here, in this space already. If you're drawn to this container, you likely have a curiosity and yearning for more depth and joy in your romantic relationship. You're probably ready to stop repeating unhelpful patterns, release control, stop worrying and start truly receiving love.
The Conscious Lover is the container for you to do just that. This 4 month group program will invite you to meet yourself at a deep level as we look at your relational dynamics and how they are indicators of who you are and what you want. It will ask you to be honest with yourself, take accountability, and show up first and foremost for YOU. In turn, you will create more self trust, confidence, and inner power that will allow you to show up the way you WANT to in your relationship.
You will become The Conscious Lover.
This space is reserved for women who are 1000% ready to do the work and dig deep. Because of that, I'm limiting the amount of spots to 20 and there will be an application and interview process to join this program.
Once you have completed the below application, you will receive an email from myself or my assistant letting you know whether your application has been approved or not. If it's approved, you'll be invited to an interview with me (don't worry, it's not scary!) so that we can get a feel for each others live energy and make sure you + this program are a match made in heaven.
I can't wait to learn more about you!
I have read and agree with these terms
What's your zodiac sign/big 3? (if you know it!)
How would you describe yourself to others?
What are your top 3-5 personal values?
What is your number one struggle you're currently facing in your relationship?
What are your top 3 goals when it comes to the way you show up in your relationship?
What would be different about your relationship and life if you achieved those goals?
What do you think is currently getting in the way of you achieving those goals?
What do you think will happen if you continue showing up in your relationship the way you currently are?
The one thing I want more than anything in my relationship is...
On a scale from 1-10 how committed are you to getting a little uncomfy and facing your shadow?
1
2
3
4
5
6
7
8
9
10
What are you hoping to learn/achieve/overcome/feel throughout this experience?
I have at least 3 hours per week to invest my self-growth and relationship
Yes
No
Please mark this box if you have reviewed the pricing for this program and you’re ready to begin now or in the near future
I am aware of the investment for this program
Are you ready to invest in this group coaching experience?
Yes!
I'd like to learn more
Do you experience any of the below in your relationship? (select all that apply)
My partner often yells at me
My partner calls me disrespectful names
I sometimes feel unsafe with my partner
My partner tries to control what I do, who I see, or what I wear
My partner is rude to me in private or in front of others
My partner has physically, mentally, or verbally abused me (even if it's only happened one time)
None of the above
If your application is approved, which of the below days/times work best with your schedule?
Tuesdays at 11 am PST
Tuesdays at 6 pm PST
Wednesdays at 12 pm PST
Thursdays at 11 am PST
Other:
If other, please specify:
SEND
Relationship Rewire Application
How is relationship anxiety currently showing up for you? Please be specific!
How is relationship anxiety affecting your relationship with your partner or with past partners?
What are your top 3 goals when it comes to the way you show up in your relationship?
What would be different about your relationship and life if you achieved those goals?
What do you think is currently getting in the way of you achieving those goals?
What do you think will happen if you continue showing up in your relationship the way you currently are?
The one thing I want more than anything in my relationship is...
On a scale from 1-10 how committed are you to healing your relationship anxiety?
1
2
3
4
5
6
7
8
9
10
I have at least 3 hours per week to invest my self-growth and relationship
Yes
No
Please mark this box if you have reviewed the pricing for this program and you’re ready to begin now or in the near future
I am aware of the investment for this program!💕
Are you ready to invest in relationship coaching
Yes
I'd like to learn more
Do you experience any of the below in your relationship? (select all that apply)
My partner often yells at me
My partner calls me disrespectful names
I sometimes feel unsafe with my partner
My partner tries to control what I do, who I see, or what I wear
My partner is rude to me in private or in front of others
My partner has physically, mentally, or verbally abused me (even if it's only happened one time)
None of the above
SUBMIT
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