APPLY BELOW

HI, I WANT TO LEARN MORE ABOUT YOU.

Fill out the questions below to see if working together is the perfect fit for your inner transformation. Trust me, I’ve taken dozens of clients on this inner journey and it works, if you work.

I am as committed to your growth as you are to your transformation.

With that being said, I only work with individuals I know I can help, and who are in a place to invest. I only work with highly motivated individuals (21+) that are ready to take action now. Please take some time to fill out this application, these questions are intentional and the responses you provide will allow me to assess if working together is the right choice for both of us! If so, we’ll hop on a call together to chat about details and get to know each other better.

Remember, we must step outside our comfort zones in order to grow.

I’M SO PROUD OF YOU FOR PUSHING THROUGH THE DISCOMFORT AND EMBARKING ON THIS TRANSFORMATIONAL JOURNEY.

GET READY, BIG THINGS ARE COMING YOUR WAY.

Name

First Name

Last Name

Instagram handle

Occupation

Date

YYYY

CLARITY: DO YOU FEEL YOU ARE CLEAR ABOUT WHO YOU ARE, YOUR PURPOSE, AND THE DIRECTION YOU WANT TO GO IN LIFE?

(ON A SCALE OF 1-10)

ENERGY: DO YOU CONSISTENTLY HAVE ENOUGH MENTAL AND PHYSICAL ENERGY NEEDED TO EXCEL, ACCOMPLISH YOUR GOALS AND FEEL MOTIVATED AND HAPPY?

(ON A SCALE OF 1-10)

COURAGE: DO YOU TAKE ACTION AND CONSISTENTLY EXPRESS WHO YOU TRULY ARE AND WHAT YOU TRULY THINK, NEED, AND DESIRE WITH THE WORLD?

(ON A SCALE OF 1-10)

PRODUCTIVITY: ARE YOU CONSISTENTLY FOCUSED AND EFFECTIVE, AND ARE YOU GOOD AT MINIMIZING DISTRACTIONS AND MAINTAINING PRIORITIES?

(ON A SCALE OF 1-10)

INFLUENCE: DO YOU FEEL YOU HAVE THE SOCIAL INFLUENCE WITH YOUR FAMILY, FRIENDS, AND TEAM NEEDED TO ACCOMPLISH YOUR GOALS?

(ON A SCALE OF 1-10)

WHAT DO YOU DO FOR A LIVING, AND WHY DID YOU CHOOSE THAT CAREER?

WHAT ARE YOUR TOP 3 GOALS YOU ARE STRIVING TO ACHIEVE RIGHT NOW?

WHAT MAJOR STRESSORS OR CHALLENGES ARE YOU STRUGGLING WITH RIGHT NOW?

WHEN YOU FEEL LIKE YOUR MOST SUCCESSFUL AND HAPPY SELF, WHAT MAKES YOU FEEL THAT WAY?

WHAT WOULD YOUR DREAM LIFE LOOK LIKE IF YOU COULD WAVE A WAND AND MAKE IT HAPPEN?

WHAT ELSE HAS PREVENTED YOU FROM HAVING THAT DREAM LIFE?

WHAT GOAL OR DREAM HAVE YOU EVER GIVEN UP ON OR FAILED AT?

WHAT 3 BIG CHANGES WOULD YOU LIKE TO MAKE IN YOUR LIFE IN THE NEXT 12 MONTHS?

WHAT ARE YOU MOST PROUD OF AND EXCITED ABOUT IN YOUR LIFE?

Which program do YOU think is best for you right now?

Choose one or two you are MOST interested in right now.

Radiant Human [Life/Health/Love] 6 months 1:1

Revitalize [Health and Hormones] 3 Month 1:1

Embodied Femme [Somatic Embodiment] 3 Month Group

Embodied Wholeness Course

One-off Sessions at $250/hr on a topic of your choosing [Nervous system regulation, somatics, trauma resolution, breathwork, love, health, wealth, business growth, realationships]

WHY WOULD YOU LIKE TO WORK WITH Hannah Kopen as your COACH?

HOW DID YOU HEAR ABOUT MY COACHING SERVICES AND WHY DO YOU WANT TO WORK WITH HANNAH?