With Alexsa

Ready to Make This Your Year?

IMPORTANT REMINDER: This form is for individuals who are ready to commit to structured accountability.
This is not a coaching or discovery process.

Thank you for your response. ✨

Full Name

Phone number

Email Address

Which best describes you right now?

What prompted you to book an accountability session?

Which statement best reflects your readiness?

Select Your Plan

PAYMENT REQUIREMENTS AND INSTRUCTIONS

Kindly provide your payment reference number and upload your proof of payment below. Payment may be made through any of the following options:

Gcash
Account Name: Alexsa Leigh Romero
Gcash Number: 09354429826

Security Bank
Account Name: Alexsa Leigh Romero
Account Number: 0000058965452

Metrobank
Account Name: Alexsa Leigh Romero
Account Number: 6083608223917

Contact us thru hello@withalexsa.com for any issues.

Payment Reference:

Upload Proof of Payment

Drag and drop or click to select a file.

Terms and Policies Agreement

I understand that this is a paid accountability service, and booking a session is a commitment to show up prepared and take action.

I have read and agree to the Terms and Conditions.

I have read and agree to the Data Privacy Policy.

Let’s Work Together

Choose the level of support that matches your commitment

The Starter

₱2,999/mo

Perfect if you’re self-motivated

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3x weekly text check-ins

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Shared progress tracker

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Weekly progress summary

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Email Support

The Achiever

₱4,999/mo

For serious goal-getters

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Daily check-ins (Mon-Fri)

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Weekly 30-min strategy call

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Personalized action planning

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Obstacle troubleshooting

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Priority messaging access

The Transformer

₱14,999/mo

For high-impact goals

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Daily check-ins (7 days/week)

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Two 45-min calls per week

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Deep strategic planning

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Custom habit & system design

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Anytime support access

Not sure which is right for you? Let’s talk—I’ll help you decide