Coaching Application
This is an application is to work 1:1 with Amanda - in addition to her 6 month Work Deliciously & Create Deliciously intensives, she also offers a variety of coaching packages and options.  Pricing will vary based off of which program you are interested in.  

Once the form is completed, Amanda will be in contact within 72 hours to set up a call to learn more about you, answer questions, and help you figure out which package is right for you!  

All information provided in this form will be kept confidential.
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Name (first & last) *
Email Address *
Phone Number *
Age *
Please share a little bit about you, whatever you would like to share (career, passions, family life, identity, quirks, etc). This can be as long or as short as you would like.
Please describe what self care looks like to you.  How and when do you feel most connected to your body?
What does an average day look like for you?  If each day is different, highlight what feels important to share.
On a scale of 1 to 10, how much ease do you feel in your daily career/work?  
No ease at all
Perfect ease
Clear selection
On a scale of 1 to 10, how present do you feel in your daily life?
Not present at all
Fully present
Clear selection
How do you manage stress?
Please share anything related to your physical or mental health that may be relevant.
Have you ever been diagnosed or treated for a psychological or mental health condition?
Are you currently taking medication for a mental health related condition?
What has drawn you to apply for coaching?
What communication style do you prefer when being held accountable?  (check all that apply)
Please check all topics that you are interested in exploring:
How do you envision your life changing?  What is holding you back from that now? *
Please check all that apply to you:
Please include any questions/hesitations below!
Have you ever invested in your personal evolution in the past?  If so, what did that look like?
Are you ready and able to invest the time, energy, and financial resources required to create sustainable transformation in your life?
Is there anything else I should know about you?
Thank you for your interest in working with me!
I'll be in contact soon.
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