Apply to Work with Maya

Client Application Form

Please fill out the form below. These answers are 100% confidential and will help me have a better understanding of what you desire and if we're a good fit to explore working together. Anything you share with me is completely ok, this is a safe space of non-judgement. Once submitted, you will immediately receive an automated confirmation email. Then you will hear back from me, within 48 hours, to schedule a call if I feel that we should move to the next step of the process.

To your pleasure, Maya

Name

First Name

Last Name

Gender

Please describe your relationship/sex life as it is right now.

If you're in a relationship, does your partner plan to do this work with you?

If you could have your ultimate relationship/sex/Love life in the next 12 months, what would it look like?

Please take The Erotic Blueprint Quiz and type your Blueprint result here. Click *here* for quiz.

This will help me better understand you and get an idea of where you are.

What do you want to learn/achieve by working with me?

What challenges are stopping you from creating what you want?

What are the current strategies/practices you are using to make your love/sex life better? How are they working for you?

Have you participated in other coaching programs? With who? What was your experience?

Why are you ready RIGHT NOW to dive into getting support?

What is your budget for 1:1 coaching?

$500.

$2500.

$5000.

$10,000.

Are you ready to make an investment towards your growth and healing?

IMPORTANT: Please check your email for a confirmation after submitting your form. Make sure you add boldandvividlove@gmail.com to your contacts and check your spam folder. You will receive a follow up email within 48 hours.

Check that you've read this.

Thank you!