Client Application to Receive Coaching with 🦄 Monica Jayne
Hello!

This application is where our journey begins. Please take your time with it and answer thoroughly and honestly.

These potent answers are the key to getting the most from our time together. Answers to all of these questions are mandatory.

If you are in a couple and desire to apply for couples coaching, I ask that each of you fill out an application individually.

I look forward to connecting with you, holding space, and hearing how your life is now, how you want it to be, what is blocking you from being there now, and supporting you to get you there once and for all! 🙌

Pleasure be with you,
🦄Monica Jayne

Email address *
Your Full Name *
Your answer
Partners Full Name (if applying for Couples Coaching they will need to fill out a separate application)
Your answer
Phone number including area code (###-###-####) *
Your answer
Occupation / Job Title *
Your answer
Are you single or in a relationship? Which of the following best describes your current relationship status? (check all that apply) *
How do you want your life to be different? Allow your truest and deepest desires to come through here. Be specific - your are defining your dreams... *
Your answer
How do you want your communication to be different? Allow your truest and deepest desires to come through here. Be specific - your are defining your dreams... *
Your answer
How do you want your sex life and intimacy to be different? Allow your truest and deepest desires to come through here. Be specific - your are defining your dreams... *
Your answer
What do you feel like your major stumbling block is for getting what you want? What gets in your way? *
Your answer
If you are in a relationship, describe your relationship. Where is it headed? What will it look like in 12 months? *
Your answer
What strategies are you currently doing and how are they working for you? *
Your answer
How are you holding yourself back from what you really want in these areas? Tell me as much as you can about what is holding you back. *
Your answer
What do you most want to learn or achieve in life, sex, intimacy, and communication? Breathe... Give this one a couple minutes to filter out through your fingertips onto the screen... *
Your answer
How big of a priority is finding a solution for you now (1-5)? *
Have you ever worked with a life coach or sexuality coach/therapist or have you ever done a relationship or sexuality program of any kind? Which one and how did it go? *
Your answer
Have you ever had a mentor or coach in the past to help yourself breakthrough? *
Are you willing to invest time, money, and energy in creating change in your life? *
What would mean IDEAL success for you if we decide to work together? *
Your answer
If we find a solution to your needs, which one of these statements describes you best? *
If we find a solution to your needs are you able to get started right away? *
How did you find out about 🦄 Monica Jayne? Please be very specific. *
Your answer
Why do you want to work with 🦄 Monica Jayne and have her as your coach? *
Your answer
Which country do you live in? *
Your answer
What else do you want me to know? *
Your answer
Thank you for being brave!
You did it! Celebrate yourself!! You've taken the first step to create lasting change in your life. I'm here for you. I will personally review your application and get back to you with the next steps...

Until then, Pleasure Be With You!
🦄 Monica Jayne

A copy of your responses will be emailed to the address you provided.
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