Is coaching for you? Let's see.

1

Name* This field is required.

First Name

Last Name

2

Which areas of your life feel the most "out of whack"?Choose as many as you need, ideally 2-3.

Career/Purpose

Creativity

Mental Health

General Life

3

Let's dig a little deeper into your work life...Which of these sounds like you? If "other", be sure to type out what's going on for you.

I'm not living up to my potential.

I'm burnt out / bored.

I want to try something new.

I want to start a new project.

I hate my job.

I want to be a better leader.

Other

4

Let's dig a little deeper into where your head is at..Which of these sounds like you? If "other", be sure to type out what's going on for you.

I don't feel like I really know who I am.

I know who I am but I don't act like it.

I don't feel excited about life.

I'd like to be more confident.

I want to speak up for myself more.

Other

5

If you could change one thing in your life in the next 90 days, what would it be?* This field is required.It can be developing a habit, starting a business, finding a lover, building a project...doesn't matter. What would be a truly meaningful change for you?

6

Why do you think you haven't achieved this result before?* This field is required.Fear? Bad habits? Trauma? Lack of confidence? Lack of direction? What do you think is stopping you?

7

If you DID accomplish it, how would the rest of your life change?* This field is required.Maybe a new career would help your relationship? Maybe better friends would support your mental health? Really think about it for a second...

8

Now let's get real. Coaching costs money. Especially when it's effective. What's your monthly income?

Under $2k

$2-5k

$5k-10k

$10-20k

$20k+

9

How much do you agree with this statement? "I always do what I say I'll do, especially when it comes to going after my goals or building new habits."

Strongly disagree

Slightly disagree

Slightly agree

Strongly agree

10

How much do you agree with this statement? "I am open to feedback / constructive criticism."

Strongly disagree

Slightly disagree

Slightly agree

Strongly agree

11

EmailIf it's a good fit, I'll be in touch!

example@example.com