Application for Discover Your Joytopia™ Complimentary Coaching Session

Please complete the following application.

If your application is accepted, we will send you the first available times for your session.

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* 1. Contact Information

Full Name

Email Address

Phone Number

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* 2. How did you hear about us? (Scroll down for more questions)

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* 3. Which of these best describes you?

I'm single and I'm not dating at all

I'm single and I'm dating, but I haven't met the right person

I'm dating someone right now, but I'm worried they are not the right person for me

I'm currently in a relationship but we are having challenges

Other (please specify)

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* 4. What is the result that you most want to achieve in your love life?

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* 5. Where are you feeling the most stuck or challenged with dating and relationships?

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* 6. On a scale of 1-10 how important is it for you to have a happy and conscious relationship?

1- Not important at all

10- Extremely important

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* 7. On a scale of 1-10 how ready are you to invest time, energy, and money into creating a happy, conscious, lon-term relationship?

1- Not ready at all

10- Fully ready

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* 8. Our minimum coaching program investment is $45 - $997 (for online programs).
Our upcoming 3-day intensive is $525.
Long-term group and Private 1-1 coaching are a 4-figure investment.
Is one of these something you are willing and able to invest in right now if you can see the value, and feel it's a good fit for you?

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* 9. On a scale from 1-10 how ready and committed are you for a love life transformation now?

1- Not ready at all

10- Fully ready

Disclaimer: By submitting your application, you will be added to Joytopia’s e-communications list so that you will receive the next steps regarding your complimentary session. You will also receive supportive e-mails about how to find, create and keep a happy conscious partnership. We will never mistreat your information in any way and we thank you for joining our community!