One on One Coaching with Jason

Work With Jason 1:1

Welcome! I'm so excited you've landed here. Let's see if we're a good fit, shall we? :)
When you apply to work with me, you'll be placed on my waitlist. If you are selected to work with me, you will be pushed past your comfort zone and challenged to grow into the person that you get to BE in order to DO what is required, to HAVE what you want. This requires a level of committment from both of us. When you invest in yourself by hiring a coach, you are takinig massive action and creating an immediate shift, that must be followed up with resilience, integrety, and authenticity.

Only submit this application if you understand that as a coach it is my job to push you to achieve your goals, and you will feel some discomfort as you break through the limiting beliefs that have been holding you back, up until now.

When you submit this application, you'll be taken to a page where you can schedule a no-obligation Zoom session with me to see if we are a good fit.
Email*
example@example.com
Name*
Phone Number *

Area CodePhone Number
Describe your current love life in 2-3 sentences.
How do you want your love life to be?
What has been getting in the way?
What are 3-5 words that describe you?
What's your life like outside of your romantic relationships?
What drew you to want to work with me, specifically?
Why is NOW the time that makes sense for you to work with a coach?
What sort of support dating/relationship support have you received in the past (coaching, counseling, therapy, etc.)?
What is your current relationship status?*

Single, not datingSingle, datingIn a committed relationship, less than 1 yearIn a committed long-term relationshipMarriedOther
Do you know what your adult attachment style is?

Anxious (pre-occupied with the relationship and very strong desire for closeness)Avoidant (independent, seeking freedom, space, and self-reliance, distant, detached, dismissive)Secure (comfortable with closeness & intimacy, not typically worried about partner leaving, getting hurt)Fearful Avoidant (uncomfortable with deep emotional intimacy, yet is pre-occupied and fearful that relationship may end)I have no idea what you're talking about, and look forward to exploring my attachment style and how it shows up in my relationships.
On a scale of 1-10, how important is your love life right now?
I only accept a few new clients each month. Which option are you most interested in?*

1-Time 90-Minute Intensive3-Months of 1:1 Coaching6-Months of 1:1 Coaching3-Month Group Coaching PackageI'm SUPER interested, and I'd like to talk out my options.
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Work With Jason 1:1