Higher Self Reset
Application Form

Please take a few minutes to answer the questions below.
The more honest and detailed your responses, the better I can understand your goals and see if we're a fit to work together. If your application is accepted, You'll receive an email within 2 days of submitting the form to book a consultation call.

Name*

Last name

Your email*

Why are you applying for The Higher Self Reset?*

What are the biggest challenges you're currently experiencing?

Emotional healing

Chronic stress

Anxiety or overwhelm

Self-worth/Confidence

Relationships

Purpose & direction

Feeling stuck

Self-sabotage

Fear of moving forward

Spiritual evolution

Other

( If other, share below)

What's been getting in the way of creating lasting change?

What have you already tried to create this change?

What would change in your life if you finally became the version of yourself you know you're capable of being?

On a scale of 1–10, how committed are you to letting go of your old identity and becoming your Higher Self?( 1 = not committed, 10 = all in! )

Are you willing to consistently apply the practices and tools between sessions?

Yes

Which best describes you right now?

I'm ready to invest in myself.

I'm seriously considering it.

I'm just exploring my options.

Is there anything else you'd like me to know before reviewing your application?

Navigate

Home
About
T&C
Privacy Policy
Donate

Contacts

hello@namibateshealing.com

Higher Self ResetApplication Form

Navigate

Contacts

Higher Self Reset
Application Form