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Coaching Application

I'm so happy you're interested in coaching services! Relationships with ourselves and others are such an important part of our lives, so I can't wait to start working with you so you can build and/or rebuild healthier relationships and be on your way to a happier and more fulfilling life!
Please fill out the following information. The more information you include in your responses, the more we can hit the ground running in our first session.
Name
Email Address
In what city/country are you located?
How did you hear about me or my coaching services?
Which coaching session option are you interested in?
Untitled multiple choice field
A
B
What type of coaching are you interested in?
Why are you seeking coaching services?
What are you hoping to achieve with coaching?
What are the main obstacles preventing you from achieving these things on your own?
What have you already tried to achieve these things?
Is there anything else you'd like to me know before we start?
After you submit this application, I will reach out via email. In this email, I will ask any additional questions I may have before we begin, send you our coaching contract, and provide you with the necessary links to collect payment and schedule your first coaching session!