1:1 Private Coaching Application

1:1 Private Coaching Application

A 6-month Private Sleep & Bloodwork Coaching Program with Jessica Watterud, LPCC
Hi! I'm thrilled you’re here! This program is perfect for you if you're ready to dig deep, uncover the real causes behind poor sleep and exhaustion, and actually heal (not just temporarily manage or mask the symptoms!).

Please take a few minutes to tell me about your journey so far. I personally review every application and will be in touch soon!

Questions? You can get in touch with me here.

Better sleep awaits!

Jessica Watterud,
LPCC & Functional Bloodwork Specialist
Your Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
How would you describe your current sleep struggles? (Examples: difficulty falling asleep, waking many times during the night, waking too early, etc.)*
How long have you been dealing with sleep issues? (Please choose one.)*

Less than 6 months6 - 12 months1 - 3 years3+ years
How are your sleep issues affecting your daily life, health, or energy levels right now? (Such as work, relationships, mood, personal well-being, etc.)*
On a scale of 1-10, how much of an impact are you sleep challenges affecting your daily life?*

1

2

3

4

5

6

7

8

9

10

1 is Not much, 10 is Greatly
What have you already tried to improve your sleep? (Choose all that apply.)*

Over-the-counter sleep aidsPrescription medicationsMelatonin or other natural supplementsSleep hygiene (routines, blue light blocking, etc)Meditation/mindfulnessDiet or exercise changesOther
If you selected "other", please provide more detail here:
Why do you feel now is the right time to reach out for 1:1 Coaching?*
If we work together to resolve your poor sleep, low energy, and other symptoms, what would life look like for you 6 months from now?*
Are you willing and able to invest time, energy, and financial resources in your healing journey right now? (Note: The minimum commitment for my 1:1 Private Coaching is 6 months and $2500).*

Yes, I'm so ready!I think so, but I have a few questions first.No, I'm not quite ready yet.
If you indicated you have questions before joining me, what are they?*
Anything else you want me to know about you or your journey?*
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