BOOKINGS

Name *

First

Last

Please share your preferred name (nickname) if applicable.

City, State and Country where you live *

Age *

Please select employment type from the following: *EmployedSelf EmployedUnemployed

What is your current occupation? Are you happy with it? *

What is your sexual orientation? *

Are you currently in a relationship? If so, how would you rate it from 1 to 10? *

Do you have any children? If so, how many? What ages? *

Who do you currently live with? *

Do you suffer from anxiety or depression? *

Do you drink or do drugs? If so, what and how often? *

Do you believe in God? Are you spiritual or religious? How do you connect with God? *

Why are you seeking our services? *

What do you feel you are struggling with most at the moment? *

What do you wish to gain from our services? *

What obstacles do you wish to overcome? *

What is your main goal? *

What do you think is your biggest obstacle in achieving this goal? *

How many sessions or calls are you planning on booking? How often? *

What days of the week and what times best work for you? What is your time zone? *

Where did you hear about us? If through social media please list your username. *

What most attracted you to work with Erika? *

What services are you most interested in? Please select all that apply:

• A Spiritual Support & Prayer Call
• Group Coaching
• Live Events & Workshops
• The Higher Self Mastery Program
• Private Spiritual Coaching & Mentoring With Erika
• Spiritual Transformation Retreats

How much are you willing to invest in your healing & well-being? Select the one that most applies: *

• Not much. Other things are more important. (Under $100)
• What I can. I am committed but lack resources. ($150 to $350)
• I'm fully invested in me. Whatever it takes. ($500-$1000)
• I am fully committed to my healing & personal transformation. I'll make it happen. ($1000- $3000+)
• There's nothing I rather invest in. ($3000+)

Best contact email *

Best contact phone number *

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