Come to Rise Application

*PLEASE READ FIRST* Below is the application for the Come to Rise Coaching Program. This 90-day high-level program is for men & women who have left an abusive relationship and are looking to heal, move on and create the best life. In this 1:1 coaching program you will work through the issues that are affecting you from your past relationship and your new normal. Please fill this out if you are ready to commit to taking your life to the next level.
What is your first & last name? *
What is your best email? *
What is your IG handle & phone number? *
Where do you live (& time zone)? *
What is YOUR biggest struggle right now? *

No self-love I don't even know myself I still miss him I feel lost and broken Other
Add more details here... *
If you could wave a magic wand and have ANYTHING you wanted in your life, what would it be? *
On a scale of 1-5, how would you describe how you feel on a daily basis? *
What do you think are the factors for feeling like this right now? *
If you woke up tomorrow and had to start over completely, what would you do? (ex: start a business, move to another state...) *
What's missing from my life is a sense of ______________. *
Have you worked with a coach in the past? If so, what was that experience like for you? *
Do you have any questions you'd like for me to go over with you? *
Should be Empty: