Full Name
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What best describes your current challenges? Check all that apply.
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Processing a divorce, break up or pain from past relationships
Repeating frustrating patterns in dating or my current relationship
Attachment patterns: anxiousness, avoidance, or difficulty trusting
Over-functioning, over-giving, or struggling with codependency
Feeling emotionally shut down, numb, or disconnected — from myself or others
Emotional overwhelm — reactivity, anxiety, or difficulty regulating
Difficulty being vulnerable, expressing needs, or letting people in
Desiring deeper, more fulfilling connection and not sure how to get there
Other. Explain below.
Please add any related context to best understand your specific challenges.
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What does success look like to you? What’s your #1 goal?
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Have you had coaching or therapy to address these challenges before?
Yes — it helped, but I'm ready to go deeper
Yes — but I didn't find it effective or it didn't address the root
No — this would be my first time working on this
No — but I've done significant self-guided work (books, courses, retreats)
Private coaching is an investment in your growth. If we offer a path forward to meet your goals, how ready are you to commit the time, energy, and resources to make it happen?
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I’m ready to move forward now if it’s a fit
I’ll be ready in the next 30 days
No, I am not ready
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