Coaching Interest Consultation Form
Please fill out this questionnaire if you are interested in learning more about coaching with Jessica Armitage. Jessica is the Business Coach for Your BADASS Therapy Practice and works specifically with therapists who wanting to create a BADASS solo private practice. Fill this out if you would like to be considered for 1 on 1 coaching!

Your Name *
Your Email *
What city and state/province are you located? *
How did you hear about Your Badass Therapy Practice? *
Which of the following best describes you? *
Please tell me a little bit about you and your practice. What challenges have you faced, what's already working well, and what is your biggest hope for your practice? *
What do you imagine being a badass therapist would feel like to you? What would you be doing, saying, or thinking that would tell you you've gotten there? *
Please rate your confidence level with each of these ideas. *
Terrible. Like, super shitty.
It's ok but could be better.
I feel pretty good about this.
It's fucking awesome!
Niche/ Ideal Client
Systems
Value/Fee-setting
Website
Marketing/Strategy
Copywriting
Mindset/Confidence
Have you received business coaching in the past? If so, what did you find helpful or unhelpful about the experience? *
Please provide the link to your Psychology Today profile and/or your website URL if you have one.
Which Coaching Package are you interested in? (Please refer to www.YourBadassTherapyPractice.com/Coaching to learn more about what's included in each package.) *
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