CONTACT INFORMATION

First Name *

Last Name *

Email *

Phone *

Your Time Zone *

Eastern Time (ET)
Central Time (CT)
Mountain Time (MT)
Pacific Time (PT)
Alaska Time (AKT)
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PERSONAL &

PROFESSIONAL SNAPSHOT

What do you do professionally? *

Short description

Tell me a little about your life context *

I’m a business owner

I lead a team

I’m raising kids

I’m married/in a long-term relationship

I’m navigating a transition

I’m doing it all…and it’s too much

Others

In a sentence or two, what made you say: “I need this”? *

LET'S TALK OVERWHELM

What are the signs that you’re overwhelmed or over-available? *

I feel like I can’t fully rest—even when I try

I say yes when I want to say no

I’m always available, even when I don’t want to be

I don’t feel like myself anymore

My calendar runs me—I don’t run it

I’m not enjoying the life I’ve built

I feel stuck but guilty for even saying that

Others

Check all that apply

How is this impacting your leadership, your relationships, or your joy? *

LET'S TALK OVERWHELM

What do you most want to feel in your life right now? *

Peace

Clarity

Confidence

Time Freedom

Joy

Presence

Permission to slow down

All of the above

Others

FIT + NEXT STEPS

Have you worked with a coach before? *

Yes

FIT + NEXT STEPS

Are you ready to make space in your life to work on this? *

Yes—I'm in a place where this matters deeply

Possibly—I'm not sure what that would look like yet

No—I’m just browsing for now

FIT + NEXT STEPS

If we decide it's a fit, are you prepared to invest time, focus, and resources into coaching?  *

Yes—I’m looking for that kind of support

Possibly—depending on timing and cost

No—I’m not ready for a financial commitment right now

Is there anything else you want me to know before we talk?

SUBMIT APPLICATION

Once submitted, I’ll personally review your responses and reach out within 48–72 hours to schedule a time for us to connect.

This isn’t a sales call.
It’s a clarity call.

A quiet space in your week to step out of the noise, reflect on what’s not working, and—if it’s the right fit—begin designing a life that feels like peace, not pressure.