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Application Form
Apply to Become a Client:
First Name
Last Name
Email
Phone
Birthday
Instagram handle
Gender
Female
Male
Other
What type of coaching are you seeking?
Health Coaching
Life Coaching
Confidence Coaching
Faith Coaching
All of the above
Are you financially able to invest in yourself at this moment?
Yes!
Yes, but not comfortably.
No.
What are you seeking MOST while working with Angelle?
Love, support, & accountability
Meal plans, supplement plans, juicing, fasts, & more
Faith, spirituality, growth, & guidance
All of the above!
Rate your physical health
Rate your physical health
Rate your mental health
Rate your mental health
Rate your emotional health
Rate your emotional health
Rate your spiritual health
Rate your spiritual health
How would you rate your sleep
Excellent
Okay
Poor
Horrible
Check if you are Christian
How serious are you about healing, growing, & transforming?
So serious!
Kind of serious.
Not ready to grow.
Are you willing to put in the "work" required to heal, grow, & transform?
Bring it on :)
Uhhh what work?
Not sure.
Have you worked with a health/life coach before?
Yes
No
What is your prefered method for the healing sessions?
Phone call
Face-time
Pre-recorded video/audio sessions
Check off the following of which you are comfortabe implementing in your custom healing program:
Plant-based diet
Juice cleanses
Water fasts
Supplements/herbs
Lymphatic drainage techniques
Prayer
Worship
Meditation
Breath-work
Journaling
Emotional release exercises
Growing with Jesus
Studying the bible
Stretch/workout regimen
If this application is accepted & Angelle chooses to work with you, are you able to devote 30-45 minutes weekly towards committing to a weekly call/coaching session?
Heck yes!
I can make it work.
No.
What is your time zone?
What length program resonates with you?
Group Coaching
3-Month
6-Month
12-Month
Your Signature
Clear
Submit
Thank you for applying! God loves YOU!
