Apply For Your Inner Weapon Call Fill this Form to qualify for coaching program. If you're a fit, you'll be redirected to book a call. Name Nickname / Preferred Name Email Instagram Handle Age / DOB Occupation How would you describe your current mental state? Do you experience any of the following? (Select all that apply) Trouble Sleeping Shallow Breathing High stress or Overthinking Lack of motivation Emotional Numbness Anger / Frustration / Overwhelm Do you typically breathe through your nose or mouth? Nose Mouth Have you practiced any of the following? (Select all that apply) Breathwork (Wim Hof, Pranayama, Box Breathing, etc.) Meditation Yoga Cold Exposure / Stress training Martial Arts / Combat Sports Sound Healing / Mantras Nervous System Regulation Tools What does your morning routine currently look like? What’s your midday energy like typically? What is your night time routine look like? (especially before bed) How many hours of sleep do you get per night (on average)? How would you describe your sleep qualitiy? How often do you exercise per week? Are you interested in blending movement into your program? Yes No Unsure Are you interested in getting in shape with 'at-home' Muay Thai workouts? Yes No What are your top 3 stress triggers? Do you day dream or zone out anytime throughout the day? What is your main goal with this coaching? What does success look like to you after 4–8 weeks of this program? Are there any specific areas you want to work on? On a scale of 1–10, how committed financially are you to transforming your inner state right now? Preferred communication method: Text Voice Note Both Best time of day to receive check-ins or prompts? Anything else you want me to know before we begin? Send Share this: Share on Facebook (Opens in new window) Facebook Share on X (Opens in new window) X
