Application

Name

First NameLast Name

Pronouns

Email

example@example.com

Phone Number

Format: (000) 000-0000.

How did you hear about Amber? (Please choose one)

What are your current challenges in regards to stress and/or burnout (emotionally, mentally, physically, etc.)?

When it comes to addressing your current challenges, what’s been working well for you so far?

What are you specifically wanting support with during our time together?

What are your biggest goals you’re working toward, both in your career and your personal life?

What transformation/growth do you want to experience as a result of mentoring with me? Why am I the right mentor for you?

Changing the beliefs and patterns that have guided you for years takes time. Are you ready & willing to invest your time, energy, and resources into making changes - knowing that results happen over time?

What have you already tried doing to create these desired outcomes (i.e. coaches, courses, etc.)? What results did you achieve?

Private coaching with Amber ranges from $300-$2k per month. Assuming we both agree it will be a good/right fit to work together, are you willing and able to invest in your personal growth right now at this level?

What would it take for you to feel a FULL-BODIED YES to working with me?

Anything else you want me to know?