Thank you for your interest in our one-on-one Christian coaching program for teens. This program is designed to support teens who have experienced trauma and are struggling with anxiety, fear, or panic. Through personalized, faith-based coaching, we’ll work together to address emotional challenges, build resilience, and help your teen grow in their identity in Christ.

This intake form will help me understand your teen’s unique needs, experiences, and goals. Your honest responses will ensure that I can provide the most effective and compassionate support possible. All information shared will remain confidential and will be used solely for the purpose of tailoring your teen’s coaching experience.

• This form will take 10-15 minutes to complete.

• Please provide as much detail as you feel comfortable with.

• After submitting, I will review your responses and contact you within 2-3 business days to discuss the next steps.

• If I believe coaching is a good fit for your teen, we’ll schedule a free consultation to further explore how I can best support your family.

Thank you for trusting me with your teen’s journey. I’m honored to walk alongside your family in this season of healing and growth.

If you have any questions, please don’t hesitate to reach out.