Welcome to Dr. Jessica Connor’s Private Coaching Application

Welcome to Dr. Jessica Connor’s Private Coaching Application

Thank you for your interest in working with me privately.

I personally review every application and select a very small number of clients whose vision, energy, and level of commitment align with this work. This is a highly focused, results-driven experience designed for those ready to create real, lasting shifts—for this reason, spaces are intentionally limited.

This application helps me understand where you are and where you’re ready to go so that you receive maximum benefit from working with me. Submitting does not guarantee acceptance; if there’s a strong fit, I’ll personally reach out with next steps.

Please answer all questions honestly and thoughtfully.
About You
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What is your current occupation/profession?
Mindset + Vision
If everything shifted in your favor over the next 6–12 months, what would your life look like? (What specific outcomes would you like to achieve through coaching with me?)
How do you currently see yourself and your life… and how would you like that to evolve through this process?
Which top 2 areas of your life are you currently seeking the most support in?
When it comes to manifestation and navigating your life with intention, which perspectives do you naturally resonate with most right now? (Select all that apply - this simply helps me understand how you currently see and experience your reality.)
Are you open to expanding beyond your current perspective?
What do you feel is the main pattern or challenge currently limiting your results?
What have you already tried in order to overcome this challenge?
Why does now feel like the right time for this shift in your life?
Have you ever worked with a coach, therapist, or mentor before?
Commitment Level
On a scale of 1–10, how ready are you to commit to this process? (1 = Not Ready, 10 = Fully Ready)
Are you currently in a position to invest $250 per session in yourself without creating financial strain?
If not, would you like to be notified of group programs or alternative options that may become available in the future?
Are you willing to show up fully prepared and dedicated to doing the "work" between sessions, and hold yourself accountable when adjustments need to be implemented?
What makes you feel that I am the right coach for you?
Is there anything else you’d like me to know about you before beginning this journey?
Availability

Available time slots vary. Each client that is accepted will be worked in on an individual basis based on their specific needs and time zone.
How soon are you looking to begin coaching?
What time zone will be you in during your coaching sessions?
What times generally work best for you?
Please confirm the following before submitting your application:
Should be Empty:

About You

Mindset + Vision

Commitment Level

Availability