Apply to Work with Me One-on-One
Please complete this application to help me determine if we would be a good fit to work together. The following one to one coaching options are available:

Fearful to Fearless: One Month Intensive One-to-One Anxiety Coaching Package ($997 or two monthly payments of $525)

  • 4 Weekly 50 minute one-to-one coaching calls with Carrie Howard, LCSW, CCATP

 And this incredible BONUS:
  • One month's access to my entire vault of on-demand video trainings, worksheets, and activities to help propel your progress between sessions

A single 90 minute one-to-one coaching session with Carrie Howard, LCSW, CCATP ($447);  We'll deep dive into the issue that's giving you the most trouble. You'll come away with tools, skills, and a strategic plan to get you "unstuck" and on a fast track to where you want to be.

*All coaching sessions are held virtually on Zoom.

Sign in to Google to save your progress. Learn more
Email *
What is your name? *
Are you at least 18 years of age? *
Please describe what you're struggling with that is leading you to seek out anxiety coaching at this time? *
What would you hope your life looks like after working together? *
What do you feel has been hindering you from getting where you want to be? *
Are you able to make an investment of either $997 (or 2 monthly payments of $537) for a one month coaching package, or $447 for a single 90 minute session?

Please only apply if you are able to make this level of investment at this time.
Are you able to have our session/s on a weekday between the hours of 8:30am-2:30pm CST?

*Please only apply if this time frame works for you as these are the only hours I am able to offer sessions.
Is there anything else that would be helpful for me to know about you at this time? If not just write N/A. *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy