12-Week Transformation Program Application

First name

Last name

Phone

Questionnaire

What specific childhood trauma or abuse are you looking to heal from?

How is this trauma currently affecting your personal and/or professional life?

What have you already tried to address these issues? (therapy, coaching, etc.)

What personal and/or professional goals are you unable to achieve due to trauma effects?

On a scale of 1-10, how ready are you to do deep, potentially uncomfortable healing work?

What is your current profession/career level?

How is trauma showing up in your work environment? (imposter syndrome, boundaries, etc.)

Can you commit to 12 weeks of consistent participation and homework?

How is trauma showing up in your work environment? (imposter syndrome, boundaries, etc.)

Are you financially able to invest $2,997 in your transformation?

Yes, I am able to invest into my healing

No, I am not able to invest into my healing right now

Schedule My Discovery Call

October 2025

Week starting Sunday, October 5

Time zone: Coordinated Universal Time (UTC)Phone call

Saturday, Oct 11

10:00 AM - 11:00 AM

11:00 AM - 12:00 PM

12:00 PM - 1:00 PM

1:00 PM - 2:00 PM