top of page

Download Your FREE Clarity Tool!

Image by Erik Mclean

Monique Elouise Anahata Ascension Clarity Manifesting

Home
1:1 Coaching
ReIGNITE 2026
Workshops & Events
Online Training
About
- Blog
More

Use tab to navigate through the menu items.

Image by Erik Mclean

Coaching Intake.

Coaching Intake

Step 1. Fill out this form.

Step 2. Schedule a call or chat via WhatsApp +61406713018 with Monique.

Step 3. Make your payment.

Step 4. Set a date to begin.

Step 5. Download your free clarity tool here.

Step 6. Commit to the journey and see your life transform!

If you have any questions, please reach out to Monique via Whatsapp or this email address

First name*

Last name*

Email*

Phone*

Birthday*

Month

Day

Year

Place & Time of Birth (optional)

Job | Role*

Address | City & Country Only*

Yes, subscribe me to your newsletter.

What brings you here today?*

Intuition & Spiritual gifts

Self Love, Worth & Confidence

Relationships

Health & Wellbeing

Trauma Events

Inner Child Work

Work & Finances

Self Empowerment & Personal Happiness

Other

What areas of life do you want to focus on the most?*

What would 'success' feel like working together?*

What do you feel is holding you back from changing?*

How do you think I can help? *

What do you believe is the role of a holistic coach? *

Are you currently taking any medications/drugs/alcohol? *

Is there anything you want to share about your physical/mental/emotional health that I should be aware of to support you?*

Is there anything else you feel might benefit me to know about you?

How ready are you to commit to your growth?*

What modalities I offer interest you most?

Energy Healing

Kundalini Activation

Breathwork

Somatic Healing

Psychic Healing

Holistic Coaching

Psychic Development

Energy Healing Training

Have you read and agreed to the disclaimer and health waiver and agree to be accountable for your own change? (follow links to view)

Are you willing to make changes to your life for the better?

By signing the signature box below, you are agreeing that all above information is true and accurate, and to hold yourself accountable for all changes. A coach is there to support you on your journey, not to create the changes for you. You've got this!!

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Please write/draw your signature here

Date*

Month

Day

Year

Image by Erik Mclean

Subscribe for updates & offers

Subscribe for your FREE clarity tool!

Full Name

Email*

Yes, subscribe me to your newsletter.

Monique Elouise Anahata Ascension Clarity Manifesting

E: hello@moniqueelouise.com

Designed with intuition, built with love, powered by ascension energetics - Monique Elouise | Anahata Ascension 2019 - 2025

Connect with M.E.

First name*

Last name*

Phone*

Email*

What do you want to learn with me?

Developing trust & intuition

Empowering myself to change

Becoming courageous & confident

Spiritual & self-mastery

Manifesting my dreams

Exploring energy & somatic healing

Rebalancing my nervous system

Creating stronger boundaries

What areas of life are you curious about changing right now?*

© 2025 by Monique Elouise All rights reserved.

Disclaimer | please read before working together.

bottom of page