CEO Of My Life - Application Page

Age Range

25–34

35–44

45–54

55+

1. Which of the following best describes how you currently feel?

Mentally overwhelmed

Emotionally exhausted

Successful on paper but unfulfilled internally

Constantly overthinking

Struggling with consistency

Disconnected from myself

Burnt out from always being “the strong one”

Feeling stuck in old patterns

Hyper-independent and tired of carrying everything alone

Craving deeper peace and emotional safety

Feeling unclear about what I truly want

Unsure who I even am anymore

2. What area of your life currently feels the most out of alignment?

Self-worth & confidence

Emotional regulation

Relationships/love

Career or business

Health & self-care

Purpose & direction

Financial abundance

Nervous system burnout

Identity/self-concept

Spiritual disconnection

I genuinely don’t know anymore

3. What do you desire MOST right now?

Inner peace

Clarity

Confidence

Emotional stability

Consistency

Better health habits

More money/abundance

A healthier relationship with myself

A loving relationship/partnership

Purpose & fulfillment

Feeling alive again

Greater self-trust

Feminine embodiment

Nervous system regulation

To stop self-sabotaging

To feel safe being fully myself

I know something needs to change, but I’m not fully clear yet

4. If your life felt fully aligned 12 months from now… what would be different?

5. What are you no longer available for in this next chapter of your life?

6. What do you believe has been holding you back from becoming the version of yourself you know you’re capable of being?

7. Why does NOW feel like the time for change?

8. Have you invested in your healing, growth, mentorship, coaching, therapy, or personal development before?

Yes

No

9. What level of support are you currently seeking?

Community + group coaching

Private mentorship

Deep emotional/subconscious healing

Structure + accountability

Nervous system regulation

Identity transformation

I’m not fully sure yet, but I know I need support

10. Are you emotionally, energetically, and financially prepared to invest in becoming the woman you know you’re meant to be?

Yes — fully ready

I’m exploring my options seriously

I’m interested but still uncertain

11. Is there anything else you’d like Fasana and her team to know about you before reviewing your application?

CEO Of My Life Application Form

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