APPLICATION FORM

Complete this application form to secure your booking. Let’s talk about what’s working in your love life, what’s not working and how to get to where you want to be.

You will then be directed to a calendar to select a date and time that suits you best. Thank you for sharing your confidential information with me so I can serve you best.

xo Bonita

If you are experiencing any difficulties with the application form, please email: bonita@lovecoachbonita.com






First Name

Last Name

Your Email (please use same as appointment booking)

Please share your Facebook URL so we can connect as friends (optional)

Your Age

Your Occupation

Do you think your occupation has affected your ability to find love?

What is currently your biggest challenge in your dating / love life?

How long have you been trying to overcome these challenges and what have you tried in the past?

What are you looking for in your ideal relationship?

When do you want to be in a committed relationship with an amazing man?

Do you have or want to have children?

How are the other areas of your life?

Health
BadPoorFairGoodExcellent

Emotional Well Being
BadPoorFairGoodExcellent

Career
BadPoorFairGoodExcellent

Finances
BadPoorFairGoodExcellent

Family
BadPoorFairGoodExcellent

Social Life
BadPoorFairGoodExcellent

On a scale of 1 to 10, with 10 being the highest, how committed are you to finding love right now?

If someone told you, you had to invest for 2 months in your love life so you could have a committed relationship with an amazing partner you would:

Are you ready to invest financially in your love life right now to receive premium level support so that you can live the love life of your dreams?

How did you hear about me?

I give you permission to email me.

The session will be held via Zoom. Please make sure you download the Zoom application to your device 10 minutes before the meeting time and then simply follow the Zoom link provided to attend the call. Please type below.. I promise to attend my scheduled Breakthrough Session.

*I ask that you type the above phrase because when people book a time slot and don’t show up or reschedule at the last minute this wastes valuable time that could have changed someone else’s life!
*Failure to attend this meeting means you will forfeit any future chance of working with me as a missed session will not be rescheduled.

This form uses an automatic verification process to prevent spam. Should your message not go through on the first attempt, kindly click the 'SEND' button again.

What My Happy Clients Are Saying

Thank you for everything. You have changed my world! I’m much more confident and realised my true beauty and worth. So much, that I have men flocking to me everywhere I go (It gets a bit much sometimes) ~ Tracy-Anne

I am in a wonderful committed relationship. We have a great deal in common. He ticks all the boxes you taught me to follow and is everything I ever hoped for. ~ Beverley

Two months of working with Bonita, some deep soul searching and a lot of guidance and everything has changed! Not only have I met my soul mate but this experience has also up levelled my health, business ventures and friendships! ~ Jane

Things are still going swimmingly with Ian and me. I keep pinching myself and he feels the same! ~ Jessica

I wanted to let you know that Jodash and myself got engaged in Paris 2 weeks ago.  So things are going well. Thank you for everything! ~ Siveshni

I couldn't be happier. Ed is amazing! He treats me like a Queen and he has exceeded my wildest expectations. We are happily in love with one another. ~ Masa

Bonita, you changed my life forever. May you prosper always in serving people with your amazing gifts. ~ Anne

Stuart and I got engaged! We are so happy together.  I thank the Lord every day for the part you played in bringing us together. ~  Yda