Application

Ready to reclaim your power?

This 3-day intensive transformation program is not for everyone.

It's for individuals who are ready to do the deep work and take back control of their lives.

Your Success is My Priority.

I believe in quality over quantity. That's why I limit The Reset to only 4 clients per month.

This allows me to:

• Focus 100% on your transformation

• Give you my full attention during sessions

• Ensure you get the results you deserve

• Maintain the highest standard of support

The Application Process

What Happens After I Apply?

Once I receive your application, I'll review it and send you a response
If we're a good fit, we'll schedule a 30-minute phone call
On the call, we'll discuss expectations, my approach, and how to prepare for success
If you decide to move forward, we'll book your 3-day intensive
If not, I'll provide guidance on other resources that might help

Fill out the application below

First Name

Last Name

Phone *

Date of birth

Email *

1. What is the single biggest barrier currently preventing you from living the life you truly desire? Where is this barrier showing up most intensely? (career, relationships, health, self-worth)

2. What have you tried so far to address this challenge? What worked, what didn't?

3. When you think about this challenge right now, what happens in your body? (e.g., tension, fatigue, tightness, shallow breathing). Describe the physical sensation of carrying this burden.

4. If you do nothing to change this over the next 5 years, what is the specific emotional, physical, and life cost? Describe the reality of staying exactly where you are.

5. On a scale of 1–10, how urgent is this change for you? (1 = "I'm curious," 10 = "I will do whatever it takes"). Why is now the time to change?

6. Can you commit to 3 consecutive days?

7. Have you ever participated in introspective work, therapy, hypnosis, breathwork, or meditation retreats? If yes, what was your experience like?

8. Are you currently being treated for any medical or mental health conditions? If yes, please provide details below: (Include diagnosis & medications)

9. Do you have any other health concerns, fears, or issues I should be aware of?

10. Do you consume alcohol? If yes, what is the frequency? Please be honest.

11. Do you use tobacco or cannabis?

12. How would you describe your relationship with food?

13. When you are under pressure or stress, what is your automatic reaction? (e.g., Do you shut down, become angry, overwork, or seek distraction?)

14. Are you in a committed relationship?

15. How would you describe yourself?

16. What is a personal strength of yours?

17. Describe your ideal self in one word.

18. What do you do for fun/ what are you hobbies?

19. What are your 3 top values in life?

20. What do you like about yourself?

21. Where is your happy place? Describe in detail.

22. Do you have a faith-based or spiritual practice/beliefs?

23. Why do you want to work with me specifically? (What drew you to SovereignSelf?)

23. Is there anything else you would like me to know?

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By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from Sovereign Self at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.