1:1 Coaching Application

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first name* This field is required.
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last name* This field is required.
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your pronouns* This field is required.
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Your email (be sure to double check spelling)* This field is required.
example@example.com
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Pick which one best describes you right now:* This field is required.These are the 3 groups I serve
In a long term relationship and I want to feel more connected to my partner
I'm in my first healthy relationship & I feel like I might mess it up
Currently committed to being single and wanting to commit to my self love era
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Who do you want to be 6 months from now?* This field is required.Share at least 3 desires/goals you have ❤️
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What are you struggling with the most that's pulling you to work with a coach?* This field is required.
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What have you already tried out to achieve your goals in self love and relationships? I'd love to know both what has worked for you and what you've found unhelpful:* This field is required.
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Have you ever been to therapy?* This field is required.
YESNO
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This is a 4-6 month commitment with 3 sessions a month for $1,100/month, are you ready for this level of commitment?* This field is required.Paid in Full Discounts Available & I have *limited* sliding scale spots as well
I'm ready, sign me up
I'm not sure yet how I will make it work but I'm willing to figure something out!!
I'm not ready at this time
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What is your availability and time zone? When are you looking to start?* This field is required.
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Do you have any questions for me or anything else about yourself that you'd like to add?
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