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 12
What is your name:
Question 2 of 12
What is your occupation, age, and anything else you wish to share:
Question 3 of 12
Are you interested in 1:1 or group mentorship?
Question 4 of 12
What inspired you to reach out? What are your intentions, goals, or desires for working together?
Question 5 of 12
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 6 of 12
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 7 of 12
Have you received mentoring or coaching before? If so, briefly share what you loved about it, what worked well for you, and what you didn't like or didn't work.
Question 8 of 12
Are you ready to commit to, prioritize, and invest in this work for yourself?
Question 9 of 12
If applicable, what is your Instagram handle and/or website:
Question 10 of 12
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 11 of 12
What are your preferred days and times to schedule our call?
Question 12 of 12
Anything else you want me to know?