1. What’s your full name?

2. Best email address to reach you?

3. What is your occupation?

4. Please tell us why you’re interested in working with Poppy.

5. Please provide your website link and/or your most-used social media profile.

6. Where are you located?

7. Have you worked with a therapist or coach before? 7. Have you worked with a therapist or coach before? Yes No

8. If yes, please briefly describe your experience—i.e., what you worked on, what you gained, what may not have been covered, and your overall satisfaction with the time invested.

9. This is a high-level coaching engagement. Please indicate your option below: 9. This is a high-level coaching engagement. Please indicate your option below: Private Coaching Session with Poppy — 50 minutes — £550 The Academy Self-Mastery Immersion Programme - 12 months coaching - £85,000 The Academy Self-Mastery Programme - 6 or 12 months coaching - £55,000 The 90-Day Self-Mastery Breakthrough - £18,500 Bespoke Self-Mastery Coaching Experience

10. Is there anything else you’d like to share that might support the application process?

11. How did you hear about us?