Nikki

Choose Yourself · 6-Month Program

Tell Me
About Yourself

This isn't an application. It's an invitation.
Take your time. Answer from your heart.

⚙️ One-time setup: Replace YOUR_FORM_ID in the HTML with your free Formspree ID from formspree.io — takes 2 minutes and responses will arrive in your inbox.
Step 1 of 911%

Step 1 of 9

Let's start with you.
What's your name?

First and last name

Please share your name so Nikki knows who she's speaking with 💗

Step 2 of 9

What's the best
email to reach you?

Nikki will personally review your answers and follow up here within 48 hours

Please add your email so Nikki can reach you 💗

Step 3 of 9

And your
phone number?

Optional — only used if email doesn't reach you

Step 4 of 9

How did you hear about
Choose Yourself?

Select all that apply

✓
A friend
✓
Word of mouth
✓
Social media
✓
Email newsletter
✓
Community event
✓
Other

Step 5 of 9

On a scale of 1–5, how ready do you feel
to do this deep inner work?

There's no wrong answer — just your honest truth

1
Exploring
2
Almost
3
Ready
4
Very ready
5
All in
Still exploringCompletely ready

Step 6 of 9

Where are you hoping to
experience the most growth?

Select all that resonate with you

✓
Self-trust & confidence
✓
Boundaries & saying no
✓
Breaking relationship patterns
✓
Emotional regulation
✓
Reconnecting with my identity

Step 7 of 9

How are you currently feeling
in your life and relationships?

Be as honest as you'd like. This is a safe space.

Step 8 of 9

What would you most love
to release or leave behind?

What has been weighing on you that you're ready to let go of?

And what would you love
to invite more of?

What does the life you're longing for look and feel like?

Step 9 of 9

When do you feel most
grounded or connected to yourself?

This helps Nikki understand what already works for you

Sending your answers to Nikki...

💗

Thank you for trusting me
with your story.

I will personally review your answers and be in touch within 48 hours. What you just did — filling this out, showing up for yourself — that matters. I see you.

— Nikki

In the meantime, feel free to book a discovery call:

Book a Discovery Call →