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Worksheet

Self-Love Consultation Application Form

Thank you for your interest in a private Self-Love Consultation. This conversation is a warm, one-on-one exploration with Janet’s trusted associate, Jane Kuhn. Together, you’ll look at where you are now, what you want to create next, and whether working directly with Janet is the right next step—either to deepen your own self-love or to learn how to share and teach this work.

So that we can honor the intimacy of this work, consultations are offered by application and interview. Please answer the questions below with honesty and an open heart. If invited, you’ll receive a booking link to schedule your private consultation. If it’s not a fit right now, we’ll point you to supportive next steps.

1. ➜

Section 1 — About You

2. ➜

Full Name

3. ➜

Email Address

4. ➜

Mobile / WhatsApp (optional)

5. ➜

City, Country, and Time Zone

6. ➜

How did you hear about this consultation?

7. ➜

Section 2 — Your Self-Love Journey

8. ➜

In a few sentences, what drew you to this conversation right now?

9. ➜

What would be most meaningful for you to change or improve in the next 6–12 months?

10. ➜

Where does self-criticism or the inner critic show up most for you today?

11. ➜

Many people tell Janet they want to teach this work because teaching deepens their own transformation. Which best describes you right now?

12. ➜

Section 3 — Readiness & Investment

This conversation is best for those who are sincerely ready to invest time, attention, and resources in their growth. There is a financial investment to work directly with Janet. We don’t discuss tuition on the webinar to keep the focus on fit and readiness. To help us understand where you are today, please answer honestly:

13. ➜

On a scale of 1–5, how committed are you to doing the inner and outer work this season?

14. ➜

If invited to work directly with Janet, are you prepared to invest in a high-touch program at this time?

15. ➜

If accepted, which investment range best reflects your current readiness? (Select one)

16. ➜

Are you able to prioritize live sessions and complete practices between sessions?

17. ➜

Anything else you want us to know so we can make this conversation as supportive as possible?

18. ➜

CONSULTATION CONFIRMATION

By submitting this application, I understand that:

  • This consultation is complimentary and there is no obligation to purchase
  • Jane will review my application and contact me to schedule our conversation
  • This is an opportunity to explore mutual fit for working together
  • I am genuinely interested in learning more about Janet's Self-Love Certification Program

If after your consultation you decide this isn't the right fit, there's absolutely no obligation. Jane's only goal is to help you find clarity on your path.

19. ➜

What Happens Next

Thank you for taking the time to complete this application. Jane will personally review your responses and be in touch to schedule your complimentary consultation.

We're excited about the possibility of welcoming you into my Self-Love Certification family!


With love,
Janet & Her Team

P.S. Remember what brought you here: that moment during the webinar when something shifted inside you. That wasn't coincidence—that was recognition. You recognized the truth of this work because you've lived it. Now the question is: are you ready to share that truth with others who desperately need to hear it? Your consultation with Jane is the first step toward answering that question. Don't let fear make the decision for you.