Private Coaching Journey Application

Applications are reviewed for fit and availability. We'll be in touch within 2-3 business days.

1. Full Name *

2. Email Address *

3. Phone Number*

4. Have you completed the Emotional Lens Assessment? *

Yes, I have completed it

Not yet

Primary Lens*

Secondary Lens*

What area of your life are you most interested in creating change in right now?

Relationships

Emotional patterns

Confidence / self-worth

Decision-making

Personal growth

Life transition

Other (please specify)

7. What patterns or challenges keep showing up for you?*

8. What would you like to be different by the end of our work together?

9. Why does making this change feel important to you right now?

10. Are you willing to actively participate between sessions through reflection, exercises, and trying new approaches? *

Yes, I'm committed to doing the work

I'm open to learning more

11. What is your general availability for coaching sessions?*

Weekday evenings

Saturdays

Flexible / Other (please specify)

12. Anything else you'd like me to know as I consider your application?

🔒︎ Your information is confidential and will only be used to review your application.

Helping people understand the emotional lenses that shape their lives so they can create clarity, connection, and change.

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