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1:1 Relationship & Attachment Trauma Coaching with Conni Biesalski

As a next step, please fill out this application. Given my schedule and the various coaching groups I facilitate, I only work with a few private clients at a time.

The information you provide here will help me determine if we are a good fit. From there, we will schedule a free 20-30 minute introductory Zoom call to further explore working together. 

Please take your time to fill out this application and answer the question in detail.

You can expect to hear back from me within a few days. And I look forward to potentially meeting and going deep with you. ✌️

What is your name?

Where are you located? (city/country/timezone)

What is your email?

What's your Whatsapp/Telegram number? (incl. country code)

How old are you?

What do you do for a living? What's your role/position/business?

Please briefly share what brings you here and what you hope to get from working with me.

What do you feel are your biggest barriers to creating the love and relationship you desire?

Do you have a regular contemplative or movement practice such as meditation, yoga, breathwork, physical exercise, or something similar? If not, are you looking to develop one? Please briefly describe.

What have you tried so far? Briefly share your personal history/experience with coaching, therapy, retreats, personal growth, or similar.

Why do you think your attempts haven't worked so far?

Do you have any medical conditions?

This container requires your emotional, financial, physical commitment to staying consistent, showing up and committing to yourself with patience and compassion. Are you ready to commit to yourself?

This container requires your emotional, financial, physical commitment to staying consistent, showing up and committing to yourself with patience and compassion. Are you ready to commit to yourself?
A
B

How did you hear about me and my work?

When are you ready to start?