This is a quick application form to help me learn more about you and your goals in working together.
Click the button below to start the application.
Question 1 of 11
What is your name:
Question 2 of 11
What is your occupation, age, and anything else you wish to share:
Question 3 of 11
What inspired you to reach out? What are your intentions or desires for working together?
Question 4 of 11
List 3 core things you want to work on with me. Example: What areas of your life do you want to focus on? What goals or visions, if accomplished together, would feel empowering and offer relief? Be sincere yet concise: 1, 2, 3.
Question 5 of 11
Why is accomplishing these things important to you? What are you ready to shift, let go of, or step into? Why is now the time? * Please keep your answers thoughtful yet concise.
Question 6 of 11
Are you ready to commit to and prioritize this work?
Question 7 of 11
Have you received mentoring or coaching before? If so, briefly shared what you loved about it, what worked well for you, and what you didn't like or didn't work.
Question 8 of 11
If applicable, what is your Instagram handle and/or website:
Question 9 of 11
Best email to reach you? Phone number and timezone? (I will first contact you via email. Please double check your correct email + phone number.)
Question 10 of 11
What are your preferred days and times to schedule our call?
Question 11 of 11
Anything else you want me to know?