Samantha Lotus - Jumpstart Application

1:1 Sovereign Jumpstart Session

This is more than a call, it's a catalyst.

This application is for awake, revolutionary female leaders who are ready to rise. If you're craving greater impact, income, and alignment in your life and business, and you're done playing small... you're in the right place.

The SOVEREIGN JUMPSTART call is a powerful, private conversation where we’ll get clear on what your Sovereign offer could be, have breakthroughs around what’s keeping you stuck and what it will take to step into your next level of leadership and legacy.

Serious applications only.

This is for high-achieving women who are coachable, self-responsible, and ready to take bold aligned action.

If that’s you - let’s begin!

Full Name *

Email *

Phone Number

Please share your Instagram handle or other main social media link (if you have one) *

(Optional but encouraged — we love to see your magic.)

About You

Are you currently a coach, practitioner, doctor or wellness leader? If yes, are you doing it full time?

Tell us about what you currently offer (or plan to offer). *

What do you help people with, and how do you deliver it (1:1, group, online program, etc.)?

Which best describes you right now? *

I already have paying clients and want to grow or scale my business.

I have started building but don’t have consistent clients yet.

I’m still finding clarity on my niche, offer or direction.

Roughly how many paying clients have you served in the past 90 days? *

1-5

6- 10

10+

Have you ever worked with a business coach or taken a business program before? *

If yes, what was your experience like? What worked and what didn’t?

What do you believe is keeping you from reaching that next level? *Choose the one that feels most true and explain briefly.

What would success look like for you in the next 90 days? *

Describe what you want to create or experience in your business, income, or confidence.

How many hours per week can you dedicate to growing your business right now? *

2–4

5–10

10–15

15+

Investment Readiness

If we are the right strategic partner to help you reach your goals and you’re accepted into the program, are you in a position to move forward and make the investment in yourself now?

Yes, I’m fully prepared to invest now if fully aligned.

Yes, I can access funding or credit to move forward.

I would need to prepare financially before investing.

Not at this time.

I have the following amount of money available (or could access) to invest in my business right now: *

Energy & Alignment

What’s calling you to seek support for this next chapter of your expansion?

What about that excites you the most?

On a scale of 1-10 (1 being not very and 10 being a full body/mind/soul yes, I'm ready), how committed are you to either starting or growing your successful coaching business? *

(Be honest — this is your energetic starting point.)

Samantha only works with leaders who are serious about building an iconic, aligned, positive-impact business -- is this you?

Yes

Commitment Agreement

I understand that Samantha's team has a strict cancellation and rescheduling policy and that if I do not let them know 24 hours in advance if I can't make the call, I am unable to reschedule.

Yes

I understand that this time is reserved exclusively for leaders who are serious about creating transformation in their business and life. I agree to show up for my scheduled Jumpstart Call on time, present, and ready to explore what’s possible for me. *

I agree

Thank you!

Team Samantha Lotus

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