New Client Application

Work with Steph

First name

Last name

Email

Phone

Social Media Links

Country

Time Zone

What has called you to working together?

Where are you at on your journey of spirituality and healing?

Are you trained in any healing modalities? Do you have a business? If so, what stage are you at?

Have you worked with a mentor/coach before?

What are you interested in at this time?

If Online Session or Mentorship, Please Select Below:

Desired Location for our work together

In-Person (Southland, NZ)

Online Only

In-Person (Travel NZ Wide)

Is there anything you're hoping to change or shift?

What isn't going well?

What IS going well?

Is there anything else you feel called to share at this time?