Before we meet, I want to truly understand where you are, what you are carrying, and where you long to go. Take your time with these questions — they are the first step of your transformation.
1
Where You Are
2
What You Carry
3
Where You Want to Go
4
Your Readiness
5
About You
Section One
Where you are right now
Before we meet, I want to truly understand you — not your symptoms, but your experience. There are no right or wrong answers here. Only honesty.
How are you feeling in your body right now?
Choose all that resonate — you may select more than one.
On a scale of 1–10, how connected do you feel to your body right now?
1 is completely disconnected. 10 is deeply at home.
Completely disconnectedDeeply at home
What does a typical day feel like for you?
Describe your energy, mood, body — whatever comes to mind.
Which areas of your wellbeing feel most neglected right now?
Select all that apply.
Section Two
What you are carrying
Understanding your history helps me meet you where you truly are — not where you think you should be.
Have you worked with a health coach or wellness professional before?
If you have tried other approaches before, what felt missing?
If this is your first time, skip to the next question.
Are there any specific physical, hormonal or emotional conditions you would like us to address?
Select all that apply — and feel free to share more in the box below.
How would you describe your relationship with your body up until now?
Section Three
Where you long to go
This is the heart of everything. Close your eyes for a moment before you answer — and allow yourself to truly imagine.
How do you want to feel when you wake up every morning?
Choose the words that call to you most.
What would change in your life if you felt truly well?
Think about your relationships, your work, your presence, your joy.
What does your body feel like in this healed, vibrant version of your life?
What would it mean to you to finally feel at home in yourself?
What are your expectations from this journey with me?
Select all that reflect what you are hoping for.
Section Four
Your readiness
This journey asks for full presence — from both of us. These questions help me understand where you are in your commitment to yourself.
Why is now the right time for you?
Choose the statement that resonates most deeply.
How committed are you to showing up fully for yourself over the next 3 months?
Not quite readyCompletely committed
Is there anything that might get in the way of your commitment?
Time, finances, fear, self-doubt — honesty here only helps us both.
What would it mean to you to not take this step?
Section Five
A little about you
The final practical details — so I can reach you and prepare for our conversation.
First Name
Last Name
Email Address
Country
Timezone
Preferred days for your discovery call
Select all that work for you.
Preferred time of day
How did you find Rise With Nelly?
Is there anything else you would like me to know before we speak?
Application Received
Your courage has been received.
I have received your application and I am reading it with full presence. You will hear from me personally within 48 hours.
In the meantime — notice how it felt to answer those questions honestly. That willingness to look inward is exactly what this journey asks of you.
"The moment you decide to honour your body is the moment everything begins to change."
— Nelly
