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THE LIBERATED WOMAN EXPRESSION OF INTEREST - 1.1 COACHING

Please fill out this form to the best of your ability, with complete honesty, so I can best support you and your needs - Love Ren x

⚡️ABOUT YOU:

What brought you to this application form at this moment in your life? - Tell me everything.
In a few words, tell me how your relationship to your body feels for you right now
What does your life look like from morning-evening (give me a play by play)
What are 3 things you desire to heal and work on?

📈VALUES:

Please rate the following values from 1-10, (10 being the most important to you)

Personal Health and Wellbeing

Personal Health and Wellbeing

Identity and Self Worth

Identity and Self Worth

Routines/foundations & Organisation

Routines/foundations & Organisation

Love/Relationships

Love/Relationships

Independance & Personal Choice

Independance & Personal Choice

Confidence and Body Image

Confidence and Body Image
If you could achieve any goal in the next 6 week-4 months, what would that look like? And why is that the focus?
What does “success” look like right now? / Why doesn't your life reflect this currently?

🧠 MINDSET:

What is the biggest lie/excuse you tell yourself everyday that is keeping you stuck?

RIGHT NOW: WHAT PERSONALITY TYPE DO YOU RELATE TO THE MOST?

RIGHT NOW: WHAT PERSONALITY TYPE DO YOU RELATE TO THE MOST?
A
B
C
D
E
F

🫀BODY/FOOD:

What does a “healthy body” mean to you? - Why?
How would you describe your current relationship with food and exercise?
What do you want to let go of — belief-wise or habit-wise — around health?
What parts of your body do you feel disconnected from? - Why?
What are your daily physical symptoms that you deal with? - List them all.

🫦SEX/RELATIONSHIPS:

How do you currently feel about your relationship with sex and intimacy? - What is lacking?
What belief systems/patterns do you notice in yourself when you explore SEX & PLEASURE?

How safe do you feel when it comes to sexual experiences?

How safe do you feel when it comes to sexual experiences?

How satisfied do you feel with your sex life?

How satisfied do you feel with your sex life?

Is there any previous trauma when it comes to sex/relationships that Ren should know about?
Please only share if you feel comfortable. x

🏆PREVIOUS COACHING + EXPECTATIONS

What kind of support works best for you? (e.g., direct, gentle, accountability, brainstorming, space-holding)
Have you worked with other coaches previously? If so what worked and what didn't for you...


What would be your ideal start date?

☎️COACHING CALL SET UP:

☎️COACHING CALL SET UP:

How would you like to invest into this space?

How would you like to invest into this space?
A
B
C

Anything else? intuitive feelings etc Now is the time to ask the questions / share your thoughts so Ren can make the best choices on behalf of you for this space