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Worksheet

Introducing Equity Access: A Community-Centered Approach to Affordable Coaching

At Mindful Passions, we believe high-quality coaching should be accessible to everyone, regardless of financial circumstances. That’s why we’ve introduced our Equity Access pricing—an initiative designed to remove financial barriers while ensuring the sustainability of our programs. By sharing your current circumstances through this brief application, you help us determine the level of support (25%, 50%, or 75% discount) that best meets your needs. We’re here to make this process respectful, straightforward, and compassionate—because no one should have to navigate personal growth alone. Thank you for trusting us with your journey.

1. ➜

Which best describes your current financial situation?

2. ➜

Are any of the following factors currently impacting your financial flexibility? (Select all that apply)

3. ➜

If you chose "Other" in the previous question, please specify.

4. ➜

What percentage of your monthly income goes toward essential expenses (housing, food, medical, etc.)?

5. ➜

Are you committed to fully engaging in this program if awarded the sliding scale rate?

6. ➜

Do you consent to the information in this application being used to improve accessibility and community support initiatives? (Your individual information will remain confidential.)

7. ➜

What would accessing this program at a sliding scale rate help you achieve, and why is this important to you?

Please share your goals and how you hope this program will support your journey. We want to understand your unique vision and motivation.

8. ➜

If approved, which payment tier best reflects your current needs?

9. ➜

Anything else you'd like to share?

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