Coaching Application Form

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Zachary works privately with only a handful of men and women each year.

Zachary does not offer one-off coaching sessions as he has found the most effective way to create lasting change is through 2-3 month immersive coaching containers. Spots are limited.

Each package with Zachary is a bespoke journey, meeting you at your point of need. Dive deep into practices from Cognitive Behaviour Therapy, OCD research, mindfulness, and more, and unlock new dimensions of personal and relational fulfillment and freedom from retroactive jealousy.

Over a period of 2-3 months, you may experience any combination of the following:

4 x 60-minute one-on-one confidential video calls via Zoom, Skype, Telegram, or WhatsApp

4 x 30-minute confidential video call check-ins as necessary

email coaching as necessary

If everything aligns, shortly after your form submission you will be contacted to schedule a 30 minute discovery call with Zachary to get clear on your situation, and determine whether or not you'd be a good fit for one-on-one coaching. Please note that this is not a coaching call, but rather, an informal opportunity to explore your options for coaching.

Rest assured that your application will be kept confidential. So please be honest and provide any information you think might be helpful in determining whether you and Zachary will be a good fit.

Thank you!
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Name:* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Where do you live?* This field is required.
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How old are you?* This field is required.
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What is your profession?* This field is required.
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Where did you hear about me?* This field is required.
My Site, RetroactiveJealousy.com
YouTube
The Zachary Stockill Podcast
Instagram
Facebook
TikTok
Google search
Other
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What are you struggling the most with right now that you are eager to work on and change?* This field is required.
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If you decide to invest in one-on-one coaching, how are you hoping that I can help you?* This field is required.
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On a scale from 1-10, with 10 being the highest, how committed are you to reaching your goals and resolving the issues you shared on this application?* This field is required.
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Is there anything else you'd like me to know?
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Please note that an investment in a coaching program will be in the four figures. Which of the following applies to you?* This field is required.
I am financially secure, excited to invest, and ready to commit to achieve my goals. Let's do this!
I am financially secure and eager to invest, but I have questions about 1:1 coaching and whether that might be right for me
I am unable or unwilling to invest in 1:1 coaching. I'm looking for a self-guided online program option.
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