Thank you so much for your interest in working with me.
Before we begin I would love to gather a few pieces of information from you.
1-on-1 Coaching Application Form
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What areas of life are you seeking support in?
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Briefly share your biggest challenge in your life right now.
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How does this affect you and what does this challenge prevent you from doing?
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What’s stopping you from fully accessing your full power and potential?
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Select...
No
Yes
Have you ever worked with a practitioner/coach/therapist before?
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If you answered yes to the previous question, what was it for?
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Select...
10
9
8
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5
4
3
2
1
On a scale of 1 - 10, with 10 being a hundred percent committed, how committed and serious are you about investing your time, energy and resources in order to create the life that you desire?
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How did you find me?
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Select...
Male
Female
Non-Binary
Other
How do you identify?
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Submit
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