Pre-Call Questionnaire

I work privately with a very small number of women. This application is not a formality; it’s part of the selection process. Please answer honestly and thoughtfully. If this is not a fit, I will tell you.

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Name *
Email *
Occupation *
Age *
Phone number *
What is your primary goal for this coaching journey? *
Required
What has been your biggest struggle in dating & relationships? *
Required

What have you already tried to change this (therapy, coaching, books, time, avoidance, etc.)? 

What worked? What didn’t?

*
How much are you ready to invest into your growth over the next 3 months? *
Required
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