Complimentary Session Application
Please complete the form below to make sure we are a good fit.
Name
First Name
Last Name
General Location
Street Address
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City
State / Province
Postal / Zip Code
Email Address
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Phone Number
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Area Code
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What has been the single biggest challenge since your traumatic experience? (Please be as detailed and specific as possible)
Tell me briefly about your life pertaining to your Post Traumatic Growth (PTG). (*Remember this can apply to big and/or little traumatic events in your life and also suggests that you have used your past to enhance who you are today rather than being lesser than you could be.) I can only accept a limited number of sessions per month. What makes you different from the other applicants and why should I choose to speak with you?
Tell me briefly about your life pertaining to your Post Traumatic Growth (PTG). (*Remember this can apply to big and/or little traumatic events in your life and also suggests that you have used your past to enhance who you are today rather than being lesser than you could be.) I can only accept a limited number of sessions per month. What makes you different from the other applicants and why should I choose to speak with you?
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How much time do you spend on enhancing your natural strengths each week?
How much have you invested in therapy, coaching, and self-help in the past year?
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How happy and satisfied do you feel overall with your life?
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If you and I were talking a year from today and you’re looking back on the past 12 months, what would have had to happen in both your personal/professional life for you to be happy with your self-progress?
Be 100% honest – What do you think is stopping you from overcoming your trauma? (The more specific you are, the faster we’ll get you clarity during our call together)
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Are you interested in individual coaching sessions or are you looking more for a program that you can follow online?
Individual Coaching
Online Programs
Both
Neither
I’m looking for a few new coaching clients to work with me personally. If you’re a good fit, would you be interested in working together? (Keep in mind that I don't accept insurance, but we have various price points to meet individual needs.)
Yes
No
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