Welcome to Dr. Jessica Connor’s Private Coaching Application

Welcome to Dr. Jessica Connor’s Private Coaching Application

Thank you for your interest in my private 1:1 coaching.

I personally review all applications and select a very small number of clients whose energy, vision, and commitment resonate with mine. Spaces are intentionally limited and reserved for those ready to create real, lasting change.

This application helps us assess alignment and ensure you’ll receive maximum value from working directly with me. Submitting it does not guarantee acceptance; if there’s a strong fit, I’ll contact you with next steps. Please answer every question honestly and thoroughly.
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 you could create your ideal outcome over the next 6–12 months, what would it look like? (What specific outcomes would you like to achieve through coaching with Dr. Connor?
How do you currently see yourself, and how would you like that identity to shift through this process?
CareerFinancesRelationshipsSelf-Image & ConfidenceHealth & Well-BeingSpiritualityOther (specify below)
Other
What do you feel is the biggest challenge you’re facing right now that you’d like support with?
What have you already tried in order to overcome this challenge?
Why do you feel now is the right time to invest in coaching?
YesNo
Commitment Level
On a scale of 1–10, how ready are you to commit to this process? (1 = Not Ready, 10 = Fully Ready)
YesNo
YesNo
What makes you feel that Dr. Connor is the right coach for you?
Is there anything else you’d like Dr. Connor 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.
ImmediatelyWithin a couple of weeksWithin 1-3 monthsNot sure yet
What time zone will be you in during your coaching sessions?
Weekday morningsWeekday AfternoonsWeekday eveningsWeekend
I understand that coaching with Dr. Connor is a $250 per hour investment.I understand that coaching is not therapy, medical, or legal advice.I understand that not all applicants will be selected, as spaces are limited.I understand that lasting change comes from within (from me) and that coaching is designed as guidance to assist me in shifting my perspective so I may step into the version of myself who naturally creates different results.Dr. Connor uses Whatsapp for coaching calls/sessions. I agree that I am able to download (or have downloaded) this app on my device for this service.
Should be Empty:

About You

Mindset + Vision

Commitment Level

Availability