Coaching Application Form
Please answer as truthfully and vulnerably as possible. This helps me understand where you're at and what you want to get out of this. Based on your answers here, I'll do my best to suggest a course of action that makes sense for your goals.

If you're wanting in-person work, I'll ask you to set up an introductory call for us to chat.
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Email *
Your full name you'd like to be identified by *
Where are you physically located? *
What do you want to get out of this work together? What do you want to be better? What questions are you asking? *
What would happen if you don't do this work?  *
What have you tried already? What other practices and support are you receiving?  *
When are you looking to start?  *
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What type of work are you interested in?  *
Required
Anything that you'd like Adam to know? 
A copy of your responses will be emailed to the address you provided.
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