Preferred Method of Contact *

Please confirm your understanding of the program requirements(by checking each of the following, you are agreeing to each statement):*

Are you able to commit to weekly sessions for the full 16 weeks?*

Which best describes your general availability?*

Are you prepared to prioritize this work alongside your current responsibilities?*

What is your primary reason for applying to the 16-Week Intensive at this point in your life?*

If this experience were successful for you, what would be different about your life at the end of 16 weeks?*

Which areas currently feel most out of alignment for you?*

What patterns do you feel you keep repeating, even though you’re aware of them?*

How do stress or emotional challenges typically show up for you?*

Have you previously worked with a coach, therapist, or guide? If yes, briefly share what worked and what didn’t.*

On a scale of 1–10, how ready are you to release outdated identity patterns and step into a new way of being?*

What do you believe has held you back from fully stepping into the version of yourself you know is possible?*

The investment for the 16-Week Quantum Identity Alignment™ Intensive is $6,000.Please indicate your preferred payment option:*

Is there anything else you feel is important for me to understand about where you are in your journey right now?*