Mother’s Day Coaching Session Application

Hi lovely! I’m gifting five free 1:1 coaching sessions during May to support mums like you who are navigating emotional or behavioural challenges with their children. These sessions are grounded in NTT (Neuro Transformation Therapy), neuroscience, and child development.

Please answer a few short questions so I can get to know you and see if this is the right fit. This isn’t about being perfect – it’s about being open and ready to feel more empowered as a parent 💛

Client Details:

Full Name*

First NameLast Name

Phone Number*

Format: (000) 000-0000.

E-mail*

example@example.com

Tell me a little about your family – how many kids, what ages?*

What behaviours or challenges are you currently experiencing with your child/children that feel overwhelming or confusing? *

How do you typically respond in these moments (emotionally or behaviourally)? *

What would a breakthrough look like for you? (e.g., feeling calmer, understanding my child better, less yelling, fewer meltdowns, etc.)*

Why are you interested in this session and what do you hope to walk away with?*

Yes please!No thank youI'll go onto your email list for future offers

How did you hear about us?*

YesNo

Thank you so much for taking the time to share with me!

Your openness is already a powerful step toward change 💛

If you’re selected for one of the five free coaching sessions, you’ll receive an email from me with a link to book your session. All sessions will be held online during May.

Even if you're not selected this round, I’ll keep you in the loop for future opportunities and resources to support you 💛

With love,
Stacey – Communication & Empowerment Coach