Full Name *

Email *

Do you Qualify for a Clarity Chat? *

The Emotional Freedom Program is by invitation only and those who want to learn about the program, how it works and what it involves will need to fill out the application below. After you submit the application you will be directed to a link to book your Clarity Chat. If we both feel the program would be a good fit then we will talk about how to move forward in working together.

The reason we use an application process is because we only work with people who are ready to experience a massive life transformation and willing to do the work to empower themselves to regulate their emotions.

With the Emotional Freedom Program, you can expect to finally break free from being controlled by your emotions and unhealthy patterns, do the deeper healing work required for a sustained healthy and happy lifestyle, fall in love with yourself and be empowered to create the life of your dreams.

What type of Emotions or Patterns are you CURRENTLY struggling with? *

What are your biggest challenges and struggles when it comes to achieving a calm, peaceful and fulfilled life? *

What would you love to achieve in the next 6 months working with Vero in the Emotional Freedom Program? *

Why do you want to include a coach in your process? *

What are your biggest blocks and obstacles to breaking free from being controlled by your emotions? *

How Much Are You Willing to Invest in Yourself to Overcome Your Unhealthy Patterns For Good? *

$0 - $500

$500 - $5000

$5000 - $10,000

$10,000 +

Please rate how satisfied you are with each area of your life: Physical *

How did you hear about us? *

"I would describe myself RIGHT NOW as..." *

...100% Committed to Making a Change & Transforming my Relationship with: Myself, Past, Body, Health, Confidence and Self Worth, and others with a Coach

... Just Looking for Some Advice Because I Can Reach My Goals Without a Coach