Work with Coach Conner
This form will help me get to know you, what you’re walking through, and what you’re hoping for before we connect. My work looks at the whole person: your story, nervous system, relationships, physical health, performance, and faith. Wherever you’re starting, we’ll work together to better understand what’s going on beneath the surface and what moving toward health and wholeness could look like for you.
Your Full Name
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First Name
Last Name
Your Email Address
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Phone Number
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Format: (000) 000-0000.
Birthdate
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Month
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Day
Year
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Date
Gender
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Female
Instagram Handle
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What would you most like support with?
Stress & Mental Health — anxiety, overwhelm, ADHD, OCD, burnout
Pain & Physical Symptoms — chronic pain, tension, fatigue, unexplained symptoms
Autoimmune & Chronic Health
Unwanted Behaviors — pornography, compulsive behaviors, habits, coping patterns
Relationships — attachment, conflict, intimacy, marriage
Nutrition & Lifestyle — food, sleep, movement, recovery
Performance — sport, mindset, pressure, identity, competition
Faith & God — identity, spiritual struggles, relationship with God
Other / I’m not sure yet
What's the biggest challenge you are experiencing right now? What has you reaching out for help?
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