Private Coaching Application
Welcome! I am glad to hear you are interested in my coaching packages. Please submit your application below and I will reach out to schedule a FREE consultation call with you. Coaching packages include 60 min intensive 1:1 sessions and daily Voxer support. I look forward to hearing from you!
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First and last name *
Email address *
Phone number *
Country and timezone (I am based in New York - Eastern Standard Time) *
How did you hear about coaching with me? *
What prompted you to reach out? *
What is your current relationship status? *
What do you feel holds you back from having the relationship you want? *
What results would you expect to receive through working with me? *
On a scale of 1-10, how committed are you to working towards these desired results? (10 being very committed)
 *
Is there anything else you would like me to know?
Which payment option do you prefer to move forward with if your application is approved?
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Required
How soon would you be prepared to start private coaching if availability permits?
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