Coaching Application
Hi there! I'm so delighted you're interested in exploring working together. Please answer the following questions to help me determine if my services align with your needs. If they do, I'll reach out to schedule a 45-minute complimentary consultation for us to get to know one another better and for you to determine if you'd like to explore my client programs.
First Name: *
Your answer
Last Name: *
Your answer
Where do you call home? *
Your answer
What kind of work do you do? *
Your answer
How did you come across my work? *
What are you struggling most with in your dating life right now? *
Your answer
What best describes your dating scenario: *
What prompted you to reach out at this time? Why do you feel my coaching could support your needs? *
Your answer
What else would you like me to know?
Your answer
What type of financial investment are you anticipating making in your pursuit of intimacy and partnership? *
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