LETS GET TO KNOW YOU

Name

Date of Birth

Phone

Time Zone/ Location

Emergency Contact (Optional)

CUSTOM BRACELET INFORMATION

To be completed only if you are ordering a custom bracelet.

Wrist Size

Purpose of Bracelet

LIFE & SPIRITUAL COACHING CLIENT INTAKE FORM

Your Present Moment

What does "living your best life" mean to you right now?

What are the (3) intentions you would like to explore in our work together?

Integration and Spiritual Alignment

Are there any spiritual or wellness practices do you currently use?

Do you have any emotional, mental, physical, or spiritual challenges, you would like me to be aware of?

Your Sacred Intentions

How do you want to feel at the end of our coaching journey together?

What are you ready to release to make room for what you turly desire?

Practical Flow

Preferred Coaching Format

Virtual (Zoom)
Virtual (Phone)
Mix of Both

Preferred Day and Times for Sessions?

Are you open to spiritual tools (Reiki, Crystals energy work)?

Thank You for Reaching Out ✨

We’ve received your request and are excited to connect with you! Whether you’re interested in a custom bracelet or coaching services, your journey has officially begun. 💫

You’ll hear from us shortly with next steps and details tailored to your request. In the meantime, feel free to explore more offerings on our site and envision what’s next for you.

Petra

Thank You for Reaching Out ✨

We’ve received your request and are excited to connect with you! Whether you’re interested in a custom bracelet or coaching services, your journey has officially begun. 💫

You’ll hear from us shortly with next steps and details tailored to your request. In the meantime, feel free to explore more offerings on our site and envision what’s next for you.

Petra

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