Sexual Confidence Coaching Application
Apply to Work With Megan
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Goals & Challenges
What made you interested in working with Megan?
*
What challenges are you currently experiencing?
*
What steps have you taken to address this issue (how effective have they been?)
*
Previous Coaching or Therapy
Have you tried therapy, coaching, or counseling before?
*
Yes
No
What have you tried so far?
*
Investment Readiness
Are you ready to invest in a 4-figure coaching program?
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Yes
Possibly
Not at this time
What concerns do you have about investing?
*
Personal Background
Do you have any known trauma history?
*
Yes
No
Prefer not to say
Do you have any diagnosed mental health conditions?
*
Yes
No
Prefer not to Say
Relationship & Intimacy
Are you currently in a relationship?
*
Yes
No
It's complicated
How would you describe your relationship with your sexuality?
*
Very Positive
Some Challenges
Mostly Negative
Unsure
What would you like to achieve through coaching?
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If this coaching was successful, what would your life look like?
*
How committed are you to making change right now?
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Very committed
Somewhat committed
Just Exploring
Submit Application
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