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Authorship by Design™ Application

First name

Last name

Email

Best contact number (WhatsApp if you use it)

Where in the world are you based? (city / country / time zone)

Which age range are you in?

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The next chapter, and why now

What would you like the next chapter of your life to hold, and what would you want to be different from today?

What's prompting you to look at this now, and why now rather than a year ago, or a year from now?

Readiness & capacity

This is twelve private sessions across sixteen weeks. During the weekly sessions it asks about three focused hours a week: your session plus the work between sessions. The last five weeks are lighter: you put the plan to work in your ordinary weeks, with a few short reflection exercises and one closing session with me. Realistically, how much of that time and attention can you give over the next sixteen weeks?

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Anything you'd add about your time for this? (Optional.)

What have you already tried toward those changes, and what happened?

How ready are you to look at what fits your life now and act on what you find, including changing or cutting back commitments if that's what you find?

I mostly want to add to my life as it isI'm ready to change or reduce what no longer fits

Anything you'd add about that? (Optional.)

Fit & alignment

Which of these areas would you most like to change right now? (Choose up to two.)

If this engagement does what you hope, what would meaningful progress toward that chapter look like a year from now?

Before we go further

Is anything serious happening right now (a recent loss, a health crisis, a major upheaval) that's still settling?

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B

Authorship by Design is $5,700. Is that a decision you're in a position to make for yourself right now?

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Have you done coaching or deep personal work before? What helped, and what didn't?

Why do you want to work with me?

Anything else you want me to know before I read this?