✨Are You Ready to Step Into New Possibilities? ✨

Your Soul Medicine Transformation Consultation

You’re here because something within you is ready for a new level

of healing, clarity and expansion.

This private consultation with a Soul Medicine Coach is a personalized opportunity to uncover

what has been keeping you from fully embodying the life you desire

and create an aligned roadmap for your next chapter.

Together, we’ll explore where you are now, where you desire to go

and the most aligned path forward for your healing journey.

This is a focused, intentional space where we can explore

what’s possible together. 💗

After completing this form, you will receive an email with your personalized Zoom link.

Full Name *

Nickname you like to be called *

Best Email Address *

Phone Number *

Physical Address where you can receive goodies in the mail *

What is the biggest health challenge you are currently dealing with? Describe the symptoms.

How long have you been dealing with the health challenges? And how intense would you say it gets? 1-10 (1 = barely there but you want it gone vs 10 = extreme and messing with your life experience)

Where do you experience the most tension in your body? Please clarify whether it's the left or right side. *

Have you previously had any surgery? If so, name the Surgery type, purpose of the surgery and the year of the procedure *

** Please list the date, the operation and the reason. **

Are you currently on any medication? If so, please provide the name and purpose of it *

** If so, please list the name, when you started it and the purpose for the medication. **

Do you have any food allergies or sensitivities? Please share the food type and describe the reaction in your body *

** If yes, which ones and what are the symptoms? **

What do you do for a career? How fulfilling is it, 1-10? 1= Soul Sucking, 10= Soul Fulfilling

What top 3 goals do you have in your personal and professional life ? *

What do you think is the number one obstacle holding you back from success in your personal and professional life ? *

What type of work are you most interested in ? *

Let's go Soul deep and highlight your Soul's magic & Purpose! Provide your Birthday (MM/DD/YY), place of birth (city, state, country) & time of birth (include AM / PM) *

What attracts you most to Nikki Jade and her work? *

Instagram / Facebook username: *

Is there anything you'd like to share with us before our call ? *

We value your time and ours, and we are honored to create this intentional space together. Please plan to arrive on time so we can make the most of our conversation and fully explore what is possible for your healing journey.

We’re excited to connect with you more deeply, understand where you are today and explore the path forward together.

With Big Love 💗

Nikki Jade & the Soul Medicine Team

Life Changing Experiences

Enjoy listening to a few courageous Souls who vulnerably share about their

transformational experience for you, in hopes that you will believe in a new

experience of life that is fulfilling, empowered & joyfully in love.

Life Changing Experiences

Enjoy listening to a few courageous Souls who vulnerably share about their

transformational experience for you, in hopes that you will believe in a new

experience of life that is fulfilling, empowered & joyfully in love.

Tiffany finally Healed her Hip Pain

She also loves the tools shes canuse whenever pain presents itself so she can

successfully reduce the pain on the spot in an empowering way.

Tiffany finally Healed her Hip Pain

She also loves the tools shes canuse whenever pain presents itself so she can

successfully reduce the pain on the spot in an empowering way.

Taylor Canceled 3 Doctors Apointments

He was able to heal himself of issues he never thought possible. Mind-blown

by the effectiveness, speed and power of the Body-Mind Mapping process.

Taylor Canceled 3 Doctors Apointments

He was able to heal himself of issues he never thought possible. Mind-blown

by the effectiveness, speed and power of the Body-Mind Mapping process.

Shaylnn healed a heart issue she was BORN with and so much more

She went from being tired in bed every day to traveling the world. She used the

empowerment tools we equipped her with to go on a deep healing journey

within that created a beautiful experience of life. Her children, family, clients