Coaching Application

Mind & Body Shift

About me
Coaching
Connected Breathwork
Take a Free Quiz
Contact

7072a01e-f9c1-4246-811e-c25b48b1fc25
b905a6ec-3a20-4b9c-bae4-f83914e90aef

Mind & Body Shift

About me
Coaching
Connected Breathwork
Take a Free Quiz
Contact

7072a01e-f9c1-4246-811e-c25b48b1fc25
b905a6ec-3a20-4b9c-bae4-f83914e90aef

Coaching Application

Before you begin, please take a few minutes to complete the application below.
This helps me understand where you are, what you're struggling with and whether coaching is the right fit for you at this stage.

1 / 9

Full Name

2 / 9

Phone Number

(WhatsApp preferred)

3 / 9

Email Address

4 / 9

Age

5 / 9

Which coaching option are you most interested in?

1:1 Deep Dive Coaching

3-Month Coaching Program

Single Clarity Session

I'm not sure yet - I'd like your recommendation.

6 / 9

What inspired you to apply for coaching right now?

(What's happening in your life that made you decide it's time for change?)

7 / 9

Have you worked with a coach, therapist, mentor or facilitator before?

Yes

If yes, what kind of work have you done, and what was your experience?

8 / 9

Have you ever practiced breathwork?

Yes

9 / 9

How much are you prepared to invest in your personal growth over the next 6 months?

Less than €1,000

€1,000–€3,000

€,3000+

Mind & Body Shift

Connect

LEGAL

P.E. Liudmyla Musiichukmoc.liamg%40laiciffo.tfihsydobdnim

Mind & Body Shift

Connect

LEGAL

P.E. Liudmyla Musiichukmoc.liamg%40laiciffo.tfihsydobdnim