1:1 Coaching Application / Waitlist

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

City

Country

What kind of work or business are you currently in?*

How did you find me or hear about our coaching?*

What inspired you to apply for 1:1 coaching right now?*

What’s currently feeling heavy, hard, or out of alignment in your life or business?*

How do you currently cope with stress, pressure, or emotional overwhelm?*

What have you tried before (therapy, coaching, self-development, etc.) and what did or didn’t work?*

What would “success” look like for you after working together?*

If you could shift one thing about how you feel day-to-day, what would it be?*

What are 3 things you’d love to experience more of in your life (e.g. calm, clarity, confidence, balance, connection)?*

Do you have any specific goals around your nervous system, mindset, or emotional regulation?*

What makes you ready for this level of work right now?*

Are you willing to take full responsibility for your growth and results?*

Coaching requires honesty and openness. Are you ready to be called forward with love and truth when needed?*

On a scale of 1–10, how ready are you to invest time, energy, and money into your growth?*

Who are you looking to work with? (please keep in mind Riki only works with Men) *

Why do you feel I’m the right coach for you?*

Have you explored my work or attended any events/classes before?*

Is there anything you think I should know about you or your current situation before we connect?*

Are you currently working with any other coaches, therapists, or practitioners?*

Coaching containers Range from $575 to $1100 per month does this feel aligned with what you’re looking for?*

Would you be willing to commit to a minimum 6 month coaching term*

Working with me 1:1 is a significant investment of both time, energy, and money. Are you in a position to make this kind of investment right now if we both feel it’s a good fit?*