The Chrysalis Application

Please complete this short application as thoroughly as possible.

After it is received, I will personally review all your information. If it feels aligned, I will send you an email with the next steps!

First name

Last name

Email address

Are you interested in Private Chrysalis transformation or the Chrysalis Seasonal Cohorts (group transformation)

Option 1

Option 2

Birth date

Month

Day

Year

Birth time

Time

Birth City, State, Country

What feels most stuck in your life right now?

How long have you felt this way?

What have you already tried to create change?

What do you think is keeping you from moving forward?

If nothing changed over the next 6 months, how would that feel?

If Chrysalis worked exactly as you hoped, what would be different in your life?

What goals or changes matter most to you right now?

Why are you looking for support now instead of later?

Are you open to tarot and astrological predictions as well as honest feedback?

Yes

This program requires embodiment, vulnerability and depth. Are you willing to do the work between sessions?

Yes

Which level of support are you most interested in?

1 Month

3 Month

6 Month

Not sure yet

Are you financially prepared to invest in coaching if it feels aligned?

Yes

Need to discuss / plan

Not at this time

What would it cost you to stay where you are for another year?