Discovery Call Form

Brenda Reiss Coaching
Discovery Call Form

Thank you for your interest in private coaching. This questionnaire is designed to help you determine if this is the right fit for you before booking a discovery call.
Brenda works with high-achieving women 45+ who are struggling with breaking the cycle of emotional dependency and are ready to reclaim their identity and build unshakable self-worth without needing external validation.

If this resonates with you, please complete the application below.
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
What are you facing right now that you feel Brenda can help with?*
Which of the following statements best describes your current situation? (Check all that apply)*

I struggle with emotional dependency and want to break free.I feel like I’ve lost my sense of identity and want to reclaim it.I struggle with self-worth and often seek external validation.I am emotionally and financially ready to invest in my growth.I am willing to do the deep inner work required to transform.I am looking for free or low-cost coaching options. (If you check this, private coaching may not be the best fit.)
Working with Brenda is a private coaching container, which she believes is the most powerful way to achieve your desired outcome. This personalized support starts with a 4-month commitment at $5,000, with additional options available for extended commitments.
Are you in a position to make this financial commitment if we determine this is the right fit for you?*

Yes, I am ready to invest in myself.I am willing to explore financial options to make this work.No, I am not in a position to make this investment. (If you check this, private coaching may not be the best fit.)
This work requires openness, self-awareness, and a willingness to challenge old patterns. Are you ready to fully commit to this journey?*

Yes, I am fully ready and committed.I want to, but I have some hesitations.No, I am not sure if I am ready for this level of work.
What type of support do you feel you need most right now?*

Deep emotional healing and self-discovery.Practical tools and strategies for self-worth and independence.A mix of emotional healing and strategic guidance.I’m not sure, but I know I need a change.
What type of support do you feel you need most right now?*

Deep emotional healing and self-discovery.Practical tools and strategies for self-worth and independence.A mix of emotional healing and strategic guidance.I’m not sure, but I know I need a change.
If we determine that this is the right fit, are you ready to move forward with coaching?*

Yes, I am ready to invest in myself and begin this work.No, I just want to gather information right now. (If you check this, private coaching may not be the best fit.)
Thank you for completing the questionnaire.

Please note that when you click the "submit application" button below, you will be automatically redirected to schedule your discovery call.
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Brenda Reiss Coaching

Discovery Call Form