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1:1 Coaching Application

An intimate container for the woman who's ready to break painful relationship patterns, turn inward, and do the inner work to create a life that actually feels as good as she knows it can.

Full Name

Age

Instagram Handle

Would love to connect

What's your email address?

Best number to reach you at

What are you currently struggling with in your dating life / relationship?

What have you already tried to shift this? What has been the outcome?

Can you give me a brief history of your past relationships? Any themes you're noticing?

Have you worked with a coach 1:1 before?

What are you hoping to walk away from these sessions feeling or achieving?

I offer a 3-month package to ensure the highest quality container. This includes bi-weekly calls + in-between support. Are you resourced to invest time, energy, and financially in this kind of support right now?

Yes, I'm ready to invest

I'd like to discuss payment options

Not right now

Is there anything else that you feel I should know?

What days and times are you generally available for sessions?

Thank you for trusting me with this. I honor how much it takes to be vulnerable and share. With any program, it takes TIME, CONSISTENCY, and PATIENCE. I want to support you in the best way possible. I read every application myself and will be in touch within 48 hours via email if it feels like an aligned fit to book a discovery call. - Jaclyn