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Private Relationship Coaching Application
Private Relationship Coaching Application
My coaching program is by application only. Once submitted, I’ll review your application. If I feel my 8-week relationship coaching program matches your needs, you will receive an email from me within 48 hours. If you’re accepted, you will be scheduled for a video application call. All of your answers are kept strictly confidential.
10Questions
Private Relationship Coaching Application
  • 1
    Enter your preferred first and last name.
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  • 2
    Please enter the best email address to contact you with.
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  • 3
    Please enter the full web address of your Instagram (or Facebook) profile page.
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  • 4
    Using as much detail as possible, describe what you believe to be the biggest problem in your life currently.
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  • 5
    Please describe (in detail) why you don't feel as though you can be fully open and honest with those that you love.
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  • 6
    Please be as descriptive as possible.
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  • 7
    Describe them using as much detail as possible.
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  • 8
    (Please be specific)
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  • 9
    What has created this urgency to fix or improve things?
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  • 10
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