Pathway Intake.

Pathway Intake

Step 1. Fill out this form so I can learn about you.

Step 2. Schedule a call | Chat via WhatsApp +61406713018 | DM via Instagram @Monique_Elouise

Step 3. Set a date to begin.

Step 4. Secure your space with a deposit.

Step 5. Commit to the journey, come to your sessions, and do the inner work to transform faster.

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

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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 & energy healer?*

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!!

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