1:1 Coaching Application
Thank you for your interest! Due to the high volume of inquiries, please complete this short, confidential application. If you are a fit for private coaching, I'll contact you to book your complimentary breakthrough session.
Questions and Details
Where did you find me?
Congratulations on taking this step toward freedom! Tell me what your biggest challenge is right now and why you want to change it.
Do you have ADHD?
Yes I have a formal diagnosis
Yes I am self diagnosed
Have you worked with a Coach before?
Please describe your current relationship with alcohol. How often do you drink and how much?
Have you tried quitting drinking in the past? Have you tried AA, therapy, rehab or alcohol counseling? Please describe your experience
What does a successful and meaningful life look like to you?
On a scale of 1-10, how committed are you to quit drinking alcohol? Why?
What is your annual income?
What is drinking costing you financially per month (you can include Ubers, ordering things online when drunk or buying food to binge on)
More than $700
The costs of drinking don't just have to involve money. What is your drinking costing you personally, professionally, health-wise?
How much time does your relationship with alcohol take up? How many hours a week do you lose to 1.)thinking about drinking, 2.)actively drinking and 3.)recovering from drinking?
Where do you see yourself in 6-12 months if you DO NOT change your drinking habit?
Is there anything else you'd like me to know?
Should be Empty: