1:1 Coaching Application Form

First Name*

Last Name*

Email Address*

Cell Phone*

Birthday*

Country*

Which coaching package are you interested in?*

-- Select --6 months12 monthsI'm not sure

Why do you feel drawn to work with me in particular?* Alignment is key when searching for a coach. Share as much or as little as you'd like.

What's currently keeping you from achieving and/or experiencing these things right now?*

What happens if these issues go unresolved?* Share what's at risk

What would ideal support look like to resolve your roadblocks and navigate forward with greater alignment, clarity and ease?* Share how you would love this relationship to look and what structure it'd take if you were designing it.

Why is now the right time to do something different?* Whether you've tried before or this is your first time focusing energy on these goals, share more on what's special about this moment in time for you.

If your problems were no longer an issue, how would your life be different ( ie.better) than it currently is?* Take time to envision your ideal world / state of being were you living and leading in the way you'd like

1:1 coaching with me is a five figure investment. Are you ready & able to invest in working together?* If not, please check out some of my lower-cost options for support.

Anything else you'd like me to know?*