Application for the Clarity Shift Experience

Please complete the application below to ensure this experience is the right fit for you. This application is designed to be completed in approximately 15 minutes. Please note that filling out this form does not automatically guarantee or commit you to coaching. We view this application process as a valuable opportunity for self-reflection and exploration of your life goals.

Once you submit your application, we will reach out to you with the next steps within one business day.

Email^*

First Name

Last Name

Phone Number

Location^*

Timezone^*

Your Current Situation

What inspired you to apply for the Clarity Shift Experience?^*

What areas of your life feel unclear or stuck right now?^*

On a scale from 1-10, with 10 being the highest, how ready are you to make a change in your life?^*

What challenges or obstacles have been holding you back from clarity and confidence?^*

What have you done to try to remedy these obstacles?^*

Your Goals & Vision

What would having true clarity and confidence look like for you?^*

What are 1-3 specific goals you’d love to achieve during this experience?^*

How committed are you to doing the inner work required for transformation?^*

What would be the best thing you can think of that you would love to walk away with having worked with us? In other words, what results are you looking to achieve?

Program Fit & Logistics

Have you worked with a coach or mentor before? If so, what was your experience like?^*

Are you able to commit time each week for self-reflection, exercises, and sessions?^*

Is there anything else you'd like to share that would help us support you?^*

Please share 3 wins you've had over the last 12 months.

Which option are you interested in (pick all that apply):^*

Clarity Shift Intensive – One month of breakthrough transformation to release a core block with RTT and coaching.
Clarity Shift Experience – A focused 2-month journey to clear blocks and realign with your true self.
Reset & Rise – A 3-month fusion of RTT and coaching to reset your patterns and rise empowered.
The Clarity Shift Six – Six months to clarify your path, expand your confidence, and embody your purpose. – If you're ready for deeper transformation and ongoing support.
The Signature Journey – A full year of deep transformation, soul alignment, and complete life renewal. – If you're committed to complete clarity, self-trust, and long-term personal growth.
Not sure yet

Our coaching packages vary between $800 to $25,000 (with payment plans available). Which one of the following applies to you?^*

I'm totally ready to invest in a coaching package to achieve my goals.
I'm mostly ready, but want to hear more about what coaching package might be right for me based on the results I want.
I have some current financial difficulties, so any coaching package fee will be too much of a stress right now.

Exploration Application Acknowledgment^*

I’ve completed the application and would like to be considered for coaching. At this point in time, I understand I am only showing interest and am under no obligation to sign up or make payment.

I understand that if it is determined that I appear to be a good fit, I will be invited to have a conversation with Susan. If I make the commitment to make an appointment, I understand that both mine and Susan’s time is very valuable, and I will show up ready for our call. At that time, I will ask questions and clarify anything I don’t understand. I will be free to choose whether or not to sign up for the Clarity Shift Experience.

If I am invited to sign up for coaching, I am committed to doing everything I need to do to get 100% from the program.

I Agree

First Name

Last Name

Todays Date

Next Steps

Once you submit your application, we’ll review it and reach out to schedule a brief clarity call to discuss your goals and ensure this experience aligns with your needs.

Ready to gain clarity and step into your best self? Submit your application now, and let’s begin your transformation!

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Application for the Clarity Shift Experience

Your Current Situation

Your Goals & Vision

Program Fit & Logistics

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