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GlowState Application
Full Name
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Email
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Instagram Handle
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If you have one.
Phone Number (required)
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Your number will only be used to share next steps regarding your application.
How did you hear about GlowState?
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(Please share what led you here — Instagram, YouTube, LinkedIn, Pinterest, podcast, referral, or another source.)
Location (City & Country)
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What Do You Do?
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How Would You Describe The Current Season Of Your Life?
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What Are The Top 2–3 Challenges You're Navigating Right Now?
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Where Do You Feel You Overextend Or Abandon Yourself The Most?
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If GlowState Could Support Your Ideal Reality Over The Next 3–6 Months, What Would Shift?
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How Do You Want To Feel In Your Energy, Body, And Daily Life?
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What Feels ‘Next Level’ For You Right Now?
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Have You Done Inner Work Before?
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Have You Done Inner Work Before?
Therapy
Coaching
Breathwork / Somatic Work
Meditation / Spiritual Practices
None
Other
What Patterns Or Beliefs Are You Most Ready To Shift At The Root?
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How Ready Are You To Explore Subconscious Identity Work?
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Why Does GlowState Feel Like The Right Space For You? Why Now?
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If Accepted, Are You Able To Commit Your Time And Energy For The Next 6 Weeks?
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GlowState Is A Premium Private Coaching Experience. If Accepted, Are You Prepared To Make A Meaningful Financial Investment?
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Is There Anything Else You'd Like Me To Know About Your Story Or Current Season?
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Submit Application