Centering Joy

Centering Joy Application

Thank you for your interest in Centering Joy.This isn’t just a program—it’s a space where high-achieving women of color learn to soften, regulate, and build a life that centers joy—not just performance.This application helps ensure we’re the right fit for this work. Take your time. Be honest. There are no “right” answers here.
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender

Male/Man/MascFemale/Woman/FemmeNonbinary/EnbyOther
Phone Number
Email
example@example.com
Occupation
Where did you hear about Centering Joy?
How would you describe where you are in your life now? (Content, distressed, stuck?)
What current challenges are you facing to fully experiencing joy?
Have you done therapy, coaching, or personal development work before? What worked? What didn’t?
What are the people/places, things that make you happy (Joy Enhancers)?
What are the things that upset you (Joy Blockers) ?
How would you like to feel at the end of this coaching container?
This work involves slowing down, being reflective, and sometimes sitting in discomfort before clarity comes. Are you ready for that kind of process?

YesNo
This work involves slowing down, being reflective, and sometimes sitting in discomfort before clarity comes. Are you ready for that kind of process?

YesNot sure,but I’m openI need something different
Centering Joy is an investment of $1599 USD for 6 weeks of coaching. Are you prepared to invest in this container at this time?

YesI’d like to discuss a payment planNot at this time, but I’d like to stay connected
Is there anything else you would like to know about you or what you would like to receive from this space?
AGREEMENT/REMINDERS:

I understand that all information I entered in this form will be considered strictly confidential.

The data gathered from this form will only be used as a basis for the type of coaching the client will need.

I understand that in order to be successful, it is vital to follow the plan agreed by both the life coach and the client.
Would you like to receive product updates, news, and promos?

YesNo
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Centering Joy Application