Private Coaching Application
I’m so glad that you have decided to apply for private coaching. Working to change your body is an intimate process and I am honored that you are interested in allowing me to help you with such important work.

Please take the time to fill out the questions below. All questions are kept confidential. If your application is approved and an opening appears in my calendar I will contact you personally to set up your complimentary discovery call to ensure that we are a good fit for one another. My coaching relationships last a minimum of 4 months with weekly commitments of 2 to 5 hours per week.

I look forward to working with you,

Name *
Your answer
Your answer
Email address *
Your answer
Best phone number for you to be reached during business hours?
Your answer
Briefly describe the challenge you are seeking help with. *
Your answer
How important is overcoming this challenge? *
Not Important
Extremely Important
If you answered less than a 10 from above, what is more important than this?
Your answer
How committed are you to making this change? *
Not Very Committed
Extremely Committed
How much are you willing to invest? *
What will happen if you do not make this change? *
Your answer
Are you willing to set aside up to 5 hours per week? *
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