One on One Coaching Application

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Hey! Congrats on taking the first step towards taking control of your burnout and moving towards your goals.

Thank you for your interest in working with me. This application will help me get a better understanding of what you're looking for, and see if I'm a good fit for you. I will reach out to you to discuss next steps.

First Name *

Last Name *

Email *

Phone Number *

What best describes you? (You can check multiple) *

I'm constantly stressed from work/life

I struggle to set boundaries

I have difficulty forming habits/being consistent with habits

I'm a people-pleaser/perfectionist/Type A personality

I want better work-life balance

I'm not fulfilled with work anymore

Other:

Required

How do you cope with stress in both healthy and unhealthy ways?
*

Are you coachable? *

Why is it important to you to start working towards your goals now? *

On a scale of 1-10, how ready are you to start now? *

I'm not ready

I'm ready

If you submit this form and want me to reach out to you, how should I best go about doing that? *

Text Message

Tik Tok DMs

Other:

Anything else you'd like me to know?

Submit

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