1-on-1 Coaching with Silvy Khoucasian
Hello and thank you for your interest in working with me. In order to find good alignment with you, I want to be sure we understand that I offer relationship, dating, and communication coaching based on my core expertise in attachment styles and boundaries. If you are needing therapy or mental health treatment please refer to the my website for therapist directories.

Please note, at this time, coaching is offered for individuals and not couples and for those over the age of 18.

Please fill out this form and if we feel a good fit, we will send an intake process to you to expand on all the details of your coaching goals.

All the details on working together including pricing information can be found here: https://silvykhoucasian.com/private-11-coaching-pricing-options/?preview_id=2000&preview_nonce=61bb52e273&preview=true
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Email *
What is your name? *
What is your age? *
Please tell me more about your goal for working together. (If you are interested in the 12 session package, please list 2-3 goals)
A few practical goal examples past clients have named are: 
- Identifying core values 
- Deepening self-awareness  
- Support with practical scripts to communicate needs and boundaries
- Processing a relationship ending
- Identifying attachment patterns that are getting in the way connecting with others
- Clarifying and healing painful attachment patterns
- Taking a past painful experience and creating a more integrated + supportive story
Goal #1: *
Goal #2:
Goal #3:
Pick from these the ones that apply to you: *
Have you worked with a coach or therapist, or mentor before? If so, what have you found beneficial and not so helpful? *
Do you know which attachment style (or styles) resonate the most for you? *
Where in your life do you feel you've done a lot of work and it has paid off? What kind of changes did you see? *
Have you read and understood the pricing and schedule for the packages? If not, please refer to https://silvykhoucasian.com/private-11-coaching-pricing-options/ *
When are you hoping to begin working with Silvy? *
A copy of your responses will be emailed to the address you provided.
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