1:1 Private Coaching Application
Hey girl! I'm happy that you're here! Please take a moment to complete this application so I can better understand your current situation and the kind of support you're looking for.  

After you complete the application, on the next page, you'll get a link to book a 60 min Coaching Consult where we'll dive deeper into creating a plan that will address the challenges you explain below.  The more detail you share, the better recommendations I'll be able to make!

If by the end of our call I feel like any of my offers could help you I'll share what they are and you can decide if you'd like to work together. If I can't help you, I'd be happy to refer you to a trusted specialist from my network who could.

My intention is to offer you an insight into what your next steps could be whether we work together or not.

Okay let's get started
Sign in to Google to save your progress. Learn more
Email *
What's your full name? *
Which areas of your life do you feel like you are most successful in now? *
Which areas of your life do you wish you were more successful in? *
Where would you like to be in the next 6-12 months in the following areas: business/career, health, relationships, money? *
What are your current goals/desires when it comes to living your version of a 10/10 life? *
What would it mean to you if you got that result?  Why is that important to you? *
Why do you think you’re not there yet? What feelings does that bring up for you? *
How do you think coaching can help you? *
Anything else you would like to share?
Coaching with Dr. K is $15,000 for 12 months or $10,000 for 6 months (I offer custom payment plans). Is this in your budget right now? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy