Let’s get started

Are you ready to change your life? Fill out this form to start this journey together.

Name

First Name

Last Name

Phone

(###)

###

####

Location

Where are you located?

What Tier are you interested in?

Lifestyle Awakening: 4-week program

Consciousness Expansion: 12-week program

Transcendental: 24-week program

Goddess Rogue's Club: after program ends, monthly maintenance

Preferred Sarting Date

YYYY

What is your budget?

How did you hear about me?

How familiar are you with Femdom or submission dynamics?

Describe any prior experience with Femdom, BDSM, or lifestyle coaching.

What brings you to this coaching program now?

What are your primary goals for joining this program?

(Options could include: Self-discovery, Relationship improvement, Lifestyle transformation, Submission training, Other)

Which areas of life would you like to focus on?

(Options: Finances, Career, Relationships, Physical Health, Mental Health, Spirituality, Sexual Expression)

What specific challenges do you face in these areas?

Describe what ‘success’ would look like for you at the end of this program.

Do you have any specific boundaries or limitations regarding coaching or lifestyle activities?

Are you willing to commit to weekly sessions and complete assigned tasks?

Is there anything else you’d like me to know about you, your background, or your goals?