1:1 Work with me Application 2026

Welcome.This is where we begin the conversation, and where I gain a sense of what you’re seeking.Please respond with honesty and in your own words. There is no right or wrong answer only what’s true for you right now.

First Name*

Last Name*

Email*

example@example.com

Phone Number*

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

Location*

CountryCityState / Province

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

How did you find me or hear about my work?*

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

What inspired you to apply for 1:1 coaching at this point in your life?*

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

What is currently feeling heavy, hard, or out of alignment in your life ?*

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

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

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

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

What are three qualities or experiences you would love to feel more of in your life (e.g. calm, clarity, confidence, balance, connection)?*

Do you have any specific goals related to your stress, anxiety, nervous system, mindset, or emotional regulation?*

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

Why do you feel I may be the right coach for you?*

Coaching requires honesty, openness, and a willingness to be challenged. Are you ready to be called forward with care, truth, and accountability when needed?*

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

On a scale of 1–10, how ready do you feel to invest time, energy, and attention into your personal growth right now?*

Private coaching containers begin at a three-month minimum commitment. Sessions will be fortnightly and include inquiry and integration work between sessions. Does this level of commitment feel aligned for you at this stage?*

Is there anything else you feel it’s important for me to know about you or your current situation before we connect?*

Next Steps:
I will get back to you within 48 hours (excluding weekends).