1 -on- 1 Coaching Application
1-on-1 coaching is very personal to each one of us. To see if you and I are qualified to work together, it's imperative I understand where you are right now. Please take a few minutes to answer all of the questions on this form. Your answers stay with me, only.

Note: When the application is complete and submit your responses, you will be provided a link to schedule a free 1/2 hour coaching call with me.
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Email *
What is your first and last name? *
What name (or nickname) do you prefer to go by?
What are you struggling with right now? Be as specific as you can. *
Have you made any progress with your struggle in the last 3-months? Yes or No and why? *
Why would you want to work with a coach? *
What matters most to you right now?
How did you hear about me?
Have you ever worked with a coach before? If so, what were the outcomes? *
What specific goals would you like to achieve working with me? *
It's 2am and you can't sleep. What are you thinking about? *
What are you sure of about your future? *
What are you unsure of about your future? *
1-on-1 coaching with Eric is a 12-week program invested in your healing journey. *
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