Thank you for your interest in working with me privately. Before I work with any new client it’s important I get to know you first and learn more about what you’d like to manifest. Please take a moment to fill out the application form below. If your application is successful I will contact you to arrange a 30 minute Complimentary Discovery Call.

I look forward to connecting with you!

Warmly,

Juliette x

PS Sometimes reply emails can end up in your spam folder. To ensure you get a response from me please add your WhatsApp number or Instagram handle so I can let you know the status of your application. Otherwise check you spam folder if you have not received a response in 48 hours.

Name

First Name

Last Name

Email

What do you want to get out of manifestation coaching?

What do you feel your manifesting blocks are?

What do you love about your life right now? What’s not so great?

How does your inner voice/mindlessness sabotage you?

What talents do you have that you are not using right now?

Are you getting paid for doing something you love?

What’s missing from your life that you can’t let go of? The thing you want to have happen or keeps tugging at your heart; wanting you to acknowledge it and give it time and love.

Have you successfully manifested anything before?

What would you say your vibration is at on a scale of 1-10? 10 being high as a kite - in love with life!

I understand the financial commitment in working with Juliette Kristine? (Private coaching costs $4,997 USD upfront or a payment plan of $1,350 USD pm for 4 months).

Yes

No, I'm not ready to invest.

How did you find out about Juliette Kristine?

Google

Instagram

Facebook

Beautiful You

Referral

Other

WhatsApp number or Instagram Handle (if you have one)