3-Month Immersion Sign-Up

Thank you for your interest in the 3-Month Coaching Immersion! Please complete the form below to share more about yourself and your goals for this transformative journey. Once submitted, you’ll receive an email with next steps, including onboarding details and payment submission. I can’t wait to support you on this path to wellness and balance!

Name

First Name

Last Name

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What is your primary goal for joining this coaching immersion?

What are your biggest challenges or concerns related to your health, well-being, or lifestyle?

How familiar are you with Ayurveda?

Beginner

Somewhat Familiar

Well Versed

What would make this 3-month experience a success for you?

Are you aware that this is a 3-month commitment and understand the investment required?

Option to pay in full (Save 10% off, total payment $1,333 USD)

I would like to set up a payment plan

3-Month Immersion Sign-Up

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