Freedom the Cowgirlway: Your Breakthrough Starts Here

Step Into Your Power and Reclaim Your Story

This is your moment to declare where you are, where you want to go, and what needs to shift. We're here to create a path for you, but first, let's get clear on what a win looks like for you and what's standing in your way. Answer each question truthfully so we can understand your real facts, your raw feelings, your relevant focus, and the resulting fruit that you are after.
This application is designed to gather the facts of your journey so far, the emotions tied to those experiences, and the focus you have moving forward. Think of this as the roots of your transformation. Every detail you provide connects to the bigger picture of where you are now and where you’re headed. Take your time and be thorough—your answers are the foundation for the work we’ll do together.
Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Gender

MaleFemale
Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Marital Status

SingleMarriedDivorcedWidowed
Do you have any health condition that impact your day-to-day?

YesNo
If yes, then please share them below:
What do you do for a living?
Give me a quick snapshot of your family dynamics and upbringing? (Who shaped you? What's your background?)
What significant life events have influenced who you are today?
What core values drive the decisions you make in your life? (What guides you when you're making those tough calls?)
Are there any beliefs or thought patterns holding you back right now? (Be honest. What's limiting you?)
Who's in your corner? (Who are the key people supporting you in life?)
How do you seek support when life gets tough? (What do you do when things aren't going as planned?)
Have you ever worked with a coach or mentor before?

YesNo
What was that experience like?
What self-improvement or growth strategies have you tried on your own? What did you learn from them?
Let's talk FACTS. Where are you right now n your life? (What's your current situation? Be specific.)
How do you feel about where you are now? (What emotions are tied to your current situation?)
How did you end up here? (What's led you to this point? What's your focus been?)
Is where you are right now working for you?
Why is it (working or not working) for you?
What do you really want?
Why do you want this? (Be real about what's driving you to change.)
How would you feel if you got exactly what you wanted? (What emotions?)
What is in the way of getting what you want? (What obstacles are holding you back?)
What would it take to overcome that obstacle? (What would need to happen for you to break through?)
What's the first step you KNOW you need to take?
How will you measure your progress? (What is your indicator of success?)
When will you get this done? (Be specific. Choose an appropriate date/time.)
Why is this a must for you? (Why is this a non-negotiable?)
If I could wave a magic wand over all of your facts and you could have things exactly the way you want, what would that look like?
AGREEMENT/REMINDERS:

I understand that all the information I provide in this form will be kept strictly confidential.

The data gathered here will be used solely as a basis for determining the coaching I need.

I agree that for the coaching to be successful, I must follow the plan agreed upon by both myself and Cheyenne M'Dee/ Freedom the Cowgirlway Inc.
How did you hear about us?
Should be Empty:

Step Into Your Power and Reclaim Your Story