Application 1:1 Attachment & Relationship Coaching
  • I am so happy that you are ready to take a huge step towards addressing and changing your attachment and relationship patterns! Attachment and Relationship Coaching is an amazing way to make big changes in your life with support and guidance. Fill out the questions below and I will email you a time to set up a phone clarity call after I receive your answers. I cannot wait to talk with you!
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Your Name *
First and last name
Birthday (Must be 18 years or older)
*
MM
/
DD
/
YYYY
Email *
Phone number *
Tell me a little about yourself and what motivated you to seek attachment and relationship coaching at this time? *
What do you currently know about attachment styles, and which attachment style do you believe you identify with the most? *
Describe your current relationship status and any significant challenges you are facing in your relationships (romantic, familial, friendships). *
Have you engaged in any form of therapy or coaching before? If so, what was your experience like and what did you find most helpful? *
What specific goals or outcomes are you hoping to achieve through attachment and relationship coaching? *
On a scale of 1 to 10, how ready do you feel to commit to the coaching process, including implementing new strategies and reflecting on your attachment patterns? *
Still very unsure
I am READY!
Are there any obstacles or concerns you foresee that might hinder your ability to fully engage in the coaching process? If so, please elaborate. *
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