DEEP FIX COACHING 

Thank you for your interest in coaching. 

As a next step, please complete this application. Given my schedule and the various coaching groups I facilitate, I only work with 6-8 direct clients at a time. The information you provide here will help me determine if we are a good fit. From there, we will schedule a free one-hour introductory Zoom call to explore working together further. 

You can expect to hear back from me within a few days. And I look forward to potentially meeting and going deep with you. 

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What's your name?  *
What's your email address? *
Where are you located? (City, country, time zone please.) *
Please link to your website and/or LinkedIn. (If you don't have a website/LinkedIn, please include your most used social media account/something for me to review and verify your identity.) *
Please briefly share what brings you here and what you hope to get from coaching.  *
Most of my coaching is done over Zoom, capitalizing on in-person client meetings whenever our schedules cross, or whenever you can make it to my office in the Oakland hills. I also am in NYC ~3 times per year and always meet with clients on those visits. For those interested, I also work with folks on scheduling day-long immersions to my office. 

Does this work for you? 
 *
How did you learn about my coaching?  *
Anything else you'd like me to know? Questions, concerns, excitement, etc. 
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