Jayson Gaddis Coaching Application

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Get quiet and really feel into your desire here as you fill this out. Remember, this is NOT psychotherapy or counseling. This is deep, effective, present-centered Relationship Coaching.

Name (include both names if wanting couples work) *

Email (include both names if wanting couples work)

Cell: *

Where do you live (include time Zone)

How did you hear about me? Who or what referred you?

What is your relationship status? (drop down menu) *

Single

Married

Non-Married Committed Partnership

Dating Relationship

Separated

Divorced

Widowed

Other:

Are you wanting 1:1 coaching or couples coaching? *

Individual (1:1 with Jayson only)

Couple (we are both very willing)

Couple (one of us is very willing)

Group coaching with Jayson & Ellen (virtual group coaching + curriculum with other couples like you)

How would you prefer to work with me? *

In-person Intensive (3 days, where you come to Boulder Colorado)

In-person Intensive (3 days, where Jayson comes to your home)

Regular support over Zoom is great

We like both options; in-person intensive and regular support

Is money an issue when it comes to your personal or professional development? *

Yes, I struggle with investing a lot of money in myself

Not an issue at all, whatever the cost, whatever it takes

Sometimes I get scared to invest a lot of time, money, and energy into my relational development

What is the problem you want solved? (less than 150 words please) *

What is the outcome you most desire? (in less than 150 words)/ *

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