THE RECALIBRATION COACHING APPLICATION

THE RECALIBRATION COACHING APPLICATION

Thank you for taking this step. This application is not just a form, it is the beginning of your Recalibration journey. Please answer each question honestly and thoughtfully. There are no right answers, but there are honest ones. That is what we are looking for.Root deeply. Rise beautifully.
About You
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current Job Title/Role
Industry or Sector (e.g., Healthcare, Finance, Pharma, Tech, Consulting, Nonprofit, Entrepreneurship, etc.)
How long have you been in a leadership role?
How did you hear about Root & Rise?
Your Current Reality
In your own words, how would you describe where you are right now? What does a typical week feel like in your body and your leadership?
Which of the following resonate with your current experience? (Select all that apply)

Other
What have you already tried to address this? (Previous coaching, therapy, wellness programs, books, etc. Be specific.)
What did those approaches NOT give you?
FIT & READINESS
The Root & Rise Leadership Method is body-based leadership work. It is not purely intellectual or strategy-driven. It involves somatic practices, nervous system awareness, and embodied presence work. How do you feel about that?
What do you believe is truly getting in your way right now beneath the surface?
What would your life and leadership look like if nothing changed in the next 12 months?
What does transformation look and feel like for you specifically? Not "I want to be less stressed." Go deeper. What would you be doing, saying, or deciding differently?
Are you currently working with a therapist, psychiatrist, or other mental health professional?
COMMITMENT & INVESTMENT

Growth at this level requires real investment of time, energy, and resources. We want to make sure you are set up for full success before we begin.
Are you prepared to prioritize this work consistently over the next 12 weeks?
The Recalibration is a 12-week private coaching experience at $3,000.
What is your ideal timeline for beginning this work?
FINAL REFLECTIONS
What is the most important thing you want Janelle to know about you before your conversation?
Is there anything that might get in the way of you fully showing up for this work?
On a scale of 1-10, how ready are you -- right now -- to do the deeper

1

2

3

4

5

6

7

8

9

10

1 is Worst, 10 is Best
Anything else you would like to share?
Acknowledgement
By submitting this application, I understand:
- This application does not guarantee enrollment.
- If selected as a potential fit, I will be invited to a complimentary discovery conversation.
- I will have the opportunity to ask questions and ensure mutual fit.
- I am committed to showing up honestly.
Signature
Thank you for your honesty. Root & Rise coaching is deeply body-based, so this may not be the right fit at this time. If you would like referrals to other coaching styles, please reach out to janelle@rootandrise.us.
Thank you for sharing. Coaching can complement therapeutic work, but it is not a substitute for mental health treatment.
Thank you for your honesty. This work requires spaciousness and commitment.
When the timing aligns, I would love to reconnect.
Thank you for your honesty. At this time, The Recalibration may not be the
right fit. When circumstances shift, I would be honored to revisit this
with you.
Should be Empty:

THE RECALIBRATION COACHING APPLICATION

About You

Your Current Reality

FIT & READINESS

COMMITMENT & INVESTMENT

FINAL REFLECTIONS

Acknowledgement