One Day Intensive Workshop Application

Full Name*

Email*

What challenging life transition are you facing right now? (List as many as you need)*

What is your biggest obstacle right now?*

What results are you desiring from working with Jasmine Rice?*

Are you willing to put in the work to transform yourself by creating your own personalized life recipe?*

How much time are you willing to invest in your coaching?*

Do you have the funds to invest into transforming yourself by coaching with Jasmine Rice?*

Yes, I am able to invest into my transformation
No, I don't currently have the funds, but I'm 100% committed to figuring it out
In all honesty, I'd love to work with you, but there is no way I can come up with the investment at this time.
Six Months

What size of shirt do you wear (unisex)

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Are You Ready to Transform Yourself?