Clarity Session Application
Hey, Friend! Please take a few minutes to complete this brief assessment. Before you start, relax with your favorite drink, check all self-judgment at the door and answer each question as HONESTLY as possible.

Thank you for your time, and I look forward to connecting with you soon!

Email address *
First and Last Name: *
Your answer
Email: *
Your answer
How would you describe your personality? *
Do you identify as a Highly Sensitive Person (HSP)? *
Which area(s) of life would you like to make the biggest change in right now? Choose all that apply. *
Required
What specific issue(s) are you seeking coaching for? *
Your answer
Why are you seeking coaching for this particular issue? How is it affecting you and your life? *
Your answer
How do you think coaching will help you with this issue? *
Your answer
How long have you attempted to tackle this issue? *
Your answer
What have you tried so far to tackle the issue, and how has it worked? Type "N/A" if you haven't tried anything thus far. *
Your answer
On a scale of 1 to 3, what's your level of commitment to working on this issue? A "2" is one foot in, one foot out. *
Not committed at all
Ready to make shift happen!
On a scale of 1 to 3, what's your willingness to move beyond your comfort zone? A "2" is one foot in, one foot out. *
Not committed at all
Ready to make shift happen!
Have you ever worked with a coach or licensed counselor/therapist before? (Please note: I am not a licensed counselor or therapist.) *
Are you currently looking for a results producing coach/success partner to help you make the above changes? *
What's the ideal result of working with a coach (i.e. how will your life be different)? *
Your answer
On a scale of 1 to 3, how CONFIDENT are you in your ability to shift and achieve your desired outcome? A "2" represents "I'm somewhat confident". *
Not confident at all
I've got this!
Are you willing to invest in yourself so we can work toward achieving your ideal result?
Are you willing and financially able to invest in yourself to make the desired shift happen in your life? *
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This form was created inside of Shift Matters.