Private Coaching With Nakia-Application
Welcome and thank you in advance for completing this application. Upon completing this application, your application will be reviewed and if your needs, intentions/goals align with Nakia's services, you will receive a follow up email to discuss next steps for scheduling coaching sessions with Nakia.

Please know that filling out this application is also a valuable opportunity for you to engage in some self-reflection, forward planning, and naming your truth!

*Application must be completed in full*
Email address *
Name (First and Last) *
Your answer
Phone Number *
Your answer
Please share why you are interested in working with a coach/Nakia? Are there any particular reasons that brought you here? *
Your answer
Have you ever worked with a coach before? *
If you've worked with a coach before, what would you say worked well for you? What could have been different?
Your answer
What are the current challenges you're facing? *
Your answer
What do you desire support with? *
Your answer
What does self-care look like to you? *
Your answer
Reflecting on the past month, how often do you practice self-care?
What is your current calling? What are you yearning to do/BE? *
Your answer
List 3 intentions you have for yourself in the next 3 months. *
Your answer
On a scale of 1-10, how committed are you to reaching your goals/intentions? *
Not at all
Very Committed
If we decide to move forward with coaching, what would you need from your coach in order to feel supported? *
Your answer
Is there anything else you’d like to share about yourself?
Your answer
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