1:1 Coaching Application

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first name* This field is required.
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last name* This field is required.
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your pronouns* This field is required.
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Your email (be sure to double check spelling)* This field is required.
example@example.com
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Who do you want to be 6 months from now?* This field is required.Share at least 3 desires/goals you have ❤️
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What are you struggling with the most that's contributing to you wanting to work with a self love and relationship coach?* This field is required.
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What have you already tried to achieve your goals? I'd love to know what has and hasn't been supportive for you so far:* This field is required.
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Have you ever been to therapy?* This field is required.
YESNO
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This is a 6-month commitment with 60-90 min sessions either 2 or 3 times a month (you decide). We will choose a regular day and time to stick to for our sessions. Are you ready for this level of commitment?* This field is required.Custom payment plans are available. There's a $300 discount when you pay in full up front. Starts at $4,800 total for 2 sessions and month and $6,300 for 3 sessions a month.
I'm ready, sign me up
I'm not sure yet how I will make it work but I'm willing to figure something out!!
I'm not ready at this time but I'd like to be added to your waitlist
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What is your availability and time zone? When are you looking to start?* This field is required.
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Do you have any questions for me or anything else about yourself that you'd like to add?
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