Apply and Speak with Claire 1:1

to see if Vanish2Heal is for you!

and explore this limited Exclusive opportunity.

If this is not for you, Claire will point you in the right direction for your unique solutions.

First Name *

Last Name *

Email *

Phone *

What Country do you live in? *

How would you describe yourself? *

I don't work on myself often

I work on myself on a consistent basis

I work on myself all the time

Where do you see yourself 6-12 months from now? What are some of the biggest goals you want to accomplish? *

What are some of the biggest struggles, challenges, and obstacles you're currently experiencing? *

What is your budget for investing in an in-depth, interactive, and comprehensive 5-days in-person event? *

If accepted into the event, will you be willing to be fully present, open to making changes needed, and applying the tools and practices you learn during the event? *

When you commit to joining this event and confirm attendance by purchasing the ticket, kindly note that the ticket becomes non-refundable. Please confirm your understanding by selecting from the pull-down menu below. Than you!

Our events typically have photographers & videographers capturing the experience. Please confirm your understanding that photos and video clips (including audio) may be used to future promotional material. *

Have you completed any of Claire's programs? If yes, kindly list down which ones:

What thing / things are you hoping to achieve? *

To learn more about my amazing self using Neuroscience and Faith, and rewire myself to get a better experience of life (Self Discovery)

Feeling Stuck: To get more excitement, or step into my next level - job, business, relationship, etc.

To get help with navigating a difficult relationship

All the above

What is your goal for the next 6months? *

To heal from the past - broken heart, infidelity, divorce, loss, and start living my life again!

To get more out of my life or my job or finally start that business idea, or other ideas, or just find more fulfilment.

Save my relationship or marriage, Find more connection in my relationship, Reignite intimacy or Get my relationship to that mind blowing place of bliss

How willing or able are you to do the work? *

I am so ready and will go full in!

I am ready and have some hesitations so I need help

I am not sure I want to do anything and should not be applying

Are you able to invest in yourself to get the results you need? This is an exclusive programme and requires financial commitment. *

I am able to and willing to invest fully in me so I can walk in my purpose and abundance

I am ready and would appreciate a payment plan (you need to be pre qualified)

I do not intend to invest in me

By checking this box, I consent to receive email / messages from Claire Afua Jørgensen and agree to their Terms and Conditions and Privacy Policy.