Phone # *to be used solely for the purpose of scheduling follow up...No spam or subscription texts without consent* *
Your answer
Instagram Handle *
Your answer
Are you interested in long term coaching or an one time intensive? *
What relationship has lead you to seek out healing from a dating /relationship coach at this time in your life? (ex: self, family, friends, partner(s)) *
Your answer
Where do you see this relationship if you do not start implementing changes? *
Your answer
What resources have you used in the past to change where you are at right now? *
Your answer
Who/what makes up your support system? *
Your answer
What is the biggest obstacle holding you back? Why? *
Your answer
Have you ever sought help for this problem before? *
If so, what was that like? *
Your answer
What are you hoping to gain from working with a dating + relationship coach? *
Your answer
If you could change 3 things about this relationship TODAY, what would they be? *
Your answer
If you could change 3 things about yourself TODAY, what would they be? *
Your answer
Is there anything else you think I should know? *
Your answer
Are you ready to be transformed forever?! *
1:1 Coaching is a 4 figure investment. Are you ready to stop at nothing to change your life?! *