A first step towards Change
You don't need to have everything figured out. This is simply a little space to share where you are, what you're longing for, and what kind of support you might be looking for. I'll personally read your application and get back to you about the next step.
Contact details
Name
*
First Name
Last Name
Email
*
example@example.com
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Coaching intentions
What Kind Of Support Are You Looking For ?
*
One-to-one coaching
Personal Growth and Empowerment
Masculinity and men's work
Feminine Embodiment
Intimacy and Relationships
Couples Coaching
I'm not sure yet
What is happening in your Life right now that has brought you here ?
*
What would you love to experience or change through coaching ?
Have you worked with a Coach or Therapist before ? What was helpful ? What was not helpful ?
Why does exploring this feel important to you now ?
Investment Readiness
If we both feel that working together is a good fit, are you currently in a position to financially invest in your personal growth and coaching ?
Yes, I'm ready to make this investment.
Yes, but I would appreciate discussing payment options.
I'm interested, but need to understand the investment first.
I'm exploring my options and not ready to invest just yet
Financial Comfort
Would Investing in coaching at this stage of your life feel financially manageable for you ?
Yes, absolutely
Yes, with a payment plan.
It would require some financial consideration.
No, it would currently create financial stress.
Other
Self Awareness
What do you believe is your part in the challenges you are currently experiencing ?
Openness to Change
Are you open to exploring your own beliefs, patterns, behaviours and the ways you may be contributing to your current situation, even when that feels uncomfortable ?
Yes,I'm ready to explore.
I'm open, although I know it might be challenging.
I'm not sure and ready for this part.
Type option 4
Personal Responsibility
What does taking responsibility for your own well-being and growth mean to you ?
Willingness to take Action
Coaching is not something that happens to you. It requires active participation, reflection and a willingness to practise new ways of showing up in your life. How willing are you to commit time and energy to this process ?
I'm in. Fully committed.
I'm willing, but need to understand what that involves.
I'm interested but unsure how much time I can commit
Expectations
What are you hoping coaching will change in your life, and what are you willing to do differently to create that change ?
How did you hear about me?
Friend or colleague
Social media
Online search
Podcast, article, or event
Other
Submit application
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