Coaching Application

Thank you for taking this step. This application helps me understand where you are, what you're navigating, and whether my coaching approach is the right support for you right now. Submitting this application does not guarantee acceptance into the program. I'm intentional about who I take on as a client so I can show up fully for the people I work with.

Tell Me About You

Phone Number

Occupation

How did you hear about me?

What change or transition are you currently in the middle of?

What does growth look like on the other side of this change?

On a scale of 1-10 (10 being the highest), how ready do you feel to actively engage in this work (journaling, homework, honest reflection), and why?

Are you currently under the care of a mental health professional, or experiencing a mental health crisis?

YesNo

Is there anything else you would like me to know?

I agree to receive marketing emails.

Tell Me About You

Phone Number

Occupation

How did you hear about me?

What change or transition are you currently in the middle of?

What does growth look like on the other side of this change?

On a scale of 1-10 (10 being the highest), how ready do you feel to actively engage in this work (journaling, homework, honest reflection), and why?

Are you currently under the care of a mental health professional, or experiencing a mental health crisis?

YesNo

Is there anything else you would like me to know?

I agree to receive marketing emails.