Application For The Ongoing Coaching Programme
Once received, if it looks like we might be a fit, I’ll be in touch to set up a conversation to discuss what working together might look like. It will take up to 72 days for me to get back to you. 

Sign in to Google to save your progress. Learn more
Name in full *
Email *
Time zone *
Where did you hear about me? *
Briefly describe your situation? (A list of patterns that's happening in your life with regard to your narcissistic ex and co-parenting) *
What outcomes are you looking for by working with me? *
What outcomes are you looking for by working with me? *
What outcomes are your priorities? *
I offer a combination of coaching, mentoring, holistic therapy and the work we do will evolve organically. Is there a particular approach you are looking for and if so what would that be? *
What other professionals are you working with right now? *
Have you ever worked with anyone else regarding the current issue? If so, what was your experience like? (Optional)
Would £300 a month be a hardship for you?  *
Required
When do you want to start coaching? *
Required
Do you have any questions for me? *
Would you be open to jumping on a call with me to discuss your application? I don't embark on a coaching relationship with anyone I haven't met.* *
Required
Thank You!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report