Powerhouse 1-1 Coaching Application

Ready to Take the First Step?

1️⃣ Watch the video. 2️⃣ Complete the application. 3️⃣ Book your strategy session
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Age
Occupation
Level of satisfaction in your work?

1

2

3

4

5

1 is Draining, 5 is On Fire!
How would you describe where you're currently feeling stuck or unfulfilled—personally, professionally, or emotionally?
Maybe a lack of confidence, fear of not reaching your potential, or just feeling like something’s missing.
Which of these best describes how you feel? (select as many as you'd like)

At a plateau personally & professionallyStuck in my life & careerNeed more tools to communicate & process emotionAfraid of not reaching my potentialHaving an identity crisisThings are good on paper, but I'm not fulfilledLacking confidence
Which of these best describes you?*

Retired or Competing Athlete 🏆High Performer or Executive 👨‍💼Entrepreneur or Want-repreneur ⚡️Other
Have you done therapy or coaching before?*

CoachingTherapyOther
How did that ^ work for you? Why did or didn't it work? (be specific & 100% honest with yourself)*
What are you hoping to GAIN from working with me? **
What specific challenge in your life or mindset is keeping you from showing up as the man you know you could be?*
What would need to happen during our time working together for you to feel like this coaching experience was a complete success?*
Think: tangible results, internal shifts, or changes in how you show up in your relationships, work, or mindset
Why is now the right time to make a change? What’s at stake if nothing shifts?
Private coaching is a premium experience - requiring time, money, and focused energy. I only work with a small handful of committed men at a time.

❌ This isn’t therapy. This is forward-focused, no-BS coaching for men who want to lead with clarity, confidence, and emotional mastery. That said…
Are you in a season where you can commit time, money, and energy toward this transformation?*

YesNo
If you answered Yes, at what level are you willing and able to commit financially?*

$10,000 or more$5,000 - $9,999$2,500 - $4,999Under $2,500
Is there anything else you'd like me to know about you, your story, or where you're at right now?
Should be Empty:

Ready to Take the First Step?

Private coaching is a premium experience - requiring time, money, and focused energy. I only work with a small handful of committed men at a time.