You can always press Enter⏎ to continue
Welcome
Hi there, please fill out and submit this form.
10
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Phone Number
*
This field is required.
Country Code
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
4
For how long have you been trying to lose weight/end emotional eating?
*
This field is required.
Testimonial: Julia from Germany; "You tapped with me to the bottom of the issue where I could release it deeply and completely. I could not believe that it all went away so fast. Since our session I feel at peace and have this warm comforting feeling inside that everything is okay the way it is. I am so glad I met you, as your heartfelt compassion paired with your clear understanding to see through things gave me a feeling of being at the right place working on that topic with you. Thank you!"
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
5
What have you tried before to lose weight or/and end emotional eating/binging?
*
This field is required.
Testimonial: Isabelle from New York; "Dear Elleria, I am so thankful for the immensely freeing and healing session you provided me with. You've guided me beautifully releasing the fear and the panic. My emotions were so charged, it had me incapacitated soon after the terrible news."
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
6
Fast forward 12 months from now, you've got the body and life of your dreams, what's different?
*
This field is required.
Testimonial: Anca from Romania; "Elleria is a bright and warm light in this world. She creates space for her clients to be themselves, to speak and to feel. She made me feel heard and understood and I felt very safe to open my heart and let go of some heavy emotional baggage."
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
7
If I had a magic wand (I do in some areas), what would be your dream outcome, you would get from our coaching?
*
This field is required.
Testimonial: Hanna from Sweden; "If you are struggling with body confidence, cravings, as a coping skill for the stress and underlying issues. Working with Ellie will help you to find your way through those core issues. You will receive valuable exercises and lifelong tips that will make a huge difference in your life."
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
8
IF you don't do anything, fast forward 12 months from now, how will your life be?
*
This field is required.
Testimonial: Sara from Israel; "Ellie stands out with her compassion, wisdom and care. She is fully associated in her clients reality and truly wants her clients to be successful, feel cared for and loved. Ellie is fully educated with several different methods and techniques that will help you move forward in life. If you work with Ellie I guarantee you'll become much more emotionally healthy and receive tools to cope with your life."
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
9
Are you willing to commit to your transformation? Coachign requires a significant investment of your time, energy, dedication and money. I will help and support you every step of the way, but I need your commitment too!!
*
This field is required.
Testimonial: Laura from Malta; "I have worked with a numerous of different professionals throughout years but the most profound and life changing work for me personality was with Ellie."
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
10
Lastly where did you find us?
*
This field is required.
Testimonial: Karen from Australia; "I met Ellie several months ago. She immediately impressed me with her warmth, compassion & authentic nature. She has helped me heal my own past using the echo tapping & been encouraging to me in work with my own clients. I can genuinely recommend Ellie to anyone wanting to work on & heal their deeper selves. She is gentle & will support you in your healing process."
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
10
See All
Go Back
Submit