Here's how it works
Here's how it works
How did you find us? Who referred you to us?
Are you a man or woman?
What Is Your Relationship Status?
Are You Seeking Individual or Couples Coaching?
What Is Your Core Goal?
If you were to have a discussion with us in 12 months from today and you were looking back over the past year, what would have had to happen in your life for you to feel happy with your progress?
Do You Think We Could Get You There?
If Yes, Why Do You Feel Like We Can Get You There?
What Is Your #1 Challenge In Your Relationship/Life Right Now?
What's Your Main Motivation For Working With Us?
First name
Last name
Age
Email
Your personal phone number (please include all country codes and area codes)
Partner's First Name (if you are in a relationship)
Partner's Last Name (if you are in a relationship)
Partner's Email (if you are in a relationship)
Where do you live?
What is your job and what is your partner's job?
What is your current weekday availability for sessions? How flexible is your schedule?
By submitting this form you acknowledge you are applying to become a private coaching client, you understand you are applying for coaching not therapy, and you agree to be contacted via email or text.
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