Apply for Coaching with Kate
Congratulations on taking time for your own growth!
I am Coach Kate, specialising in coaching love and relationships.
As a coach, it's important for me to understand more about what you are going through and you goals in advance in order to make sure whether I can be of help. 
I suggest that you take 5-10 minutes to compose your responses to these questions. Thank you.
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First Name *
Last Name *
Email *
Contract Number *
You preferred medium for communication *
Would you like to be added to the Conscious Women WhatsApp group so you can receive the latest updates? *
Occupation *
Age *
What is your current relationship status? *

What are your primary goals for seeking dating and relationship coaching? 

 *

What are the key challenges or pain points you're currently experiencing in your love life?

 *
How long have you been in the situation above? *

On a scale of 1-10, how would you rate your overall self-confidence and self-worth when it comes to dating and relationships?

 *

On a scale of 1-10, how would you rate your ability to communicate your needs and feelings in your relationships?

 *
On a scale of 1 to 10, how ready are you to take action in transforming yourself and your love life? *
Not ready at all
Yes I'm ready!
On a scale of 1 to 10, how ready are you to invest in transforming yourself and your love life? *
Not ready at all
Yes I'm ready!
If you came from one of Coach Kate's dating and relationship workshops, an honest and heartfelt testimonial would be highly appreciated.
If you'd like to do that, please leave your testimonial below:
(You can simply write down your honest experience of the workshop: what you've been struggling with, how it has helped you, and whether you would recommend Kate to other women for dating and relationship issues)

Is there anything else you'd like me to know about your unique situation and what you hope to get out of our time together?

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