Relationship Coaching Consultation Application 
Hi,

If you're interested in working with me, please fill out this application. 

Once your application is completed, please schedule your free 30-minute consultation session via this link. This call is our time to connect so I can get to know you and better understand how I can help you reach your relationship and personal growth goals. 

We will :

- run through the application together
- craft a vision ahead, discuss details and options of the coaching offer etc.
- open up space for any questions you might have
- lay out possible next steps 

I want to know exactly what it’s like to be you. So I can know exactly how to help you best. 

With warmth and care, 

Erica 

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Email *
Full Name  *
Phone *
1. Where in your relationship and/or personal life do you see an opportunity for growth?   *
2. How would you describe your relationship dynamic at this time?    *
3. Describe your biggest challenge that you are experiencing in your relationship and/or personal development.  *
4. Why do you feel called to work with me and why does it feel like the right time? *
5. What is something you feel is holding you back in your relationship or personal life today?  *
6. What is keeping you awake at night? (figuratively speaking) *
7. Why would make working with a coach amazingly useful to you? *
8. What would you like to create/experience in your relationship/personal life in the next 6 months? (mention 3/5 goals) *
10. Have you had a history of significant trauma? Yes/No? If yes, please briefly explain. *
11.  How much experience do you have as a client in therapy or coaching? List what modalities (if any) and how long.   *
12. Do you feel ready to invest in your relationship and personal growth right now?  *
A copy of your responses will be emailed to the address you provided.
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