Welcome, and thank you for your interest in working together

Before we proceed, I'd like to get to know you better and understand where you're at.

This will help me determine how we can best work together towards your growth and transformation.

Please take a moment to answer the following questions truthfully and thoughtfully.

Let's go!

First, let me know who you are?

First Name *

Last Name

Email *

Phone

Current relationship status? *

Are you the betrayed or the unfaithful partner? *

What resonates the most? *

How did you first discover me? *

Please note: Your session may be cancelled if the booking questions are not answered appropriately - This is to make sure I'm helping the people that want it :-)

If we fast-forward 6 months and you’ve made the transformation you dream of, what does your life look like?

Choose all that apply *

I feel confident and in control of my life and relationships

I’ve overcome my biggest challenge and feel free from past struggles

I’ve created meaningful connections and built self-trust

I finally feel at peace and aligned with my purpose

Other...

How does NOT making a change impact your life right now?

Choose all that apply *

It’s frustrating, but I’m managing for now

It’s holding me back, and I know I need to fix this soon

I feel STUCK, and I can’t keep living this way

Other...

Have you previously invested in your personal growth? (Coaching, courses, retreats, therapy, mentorship?)

Choose all that apply *

Yes, I’ve worked with 1-on-1 coaches before

Yes, I've worked with a therapist before

Yes, I'm currently working with a therapist

Yes, I’ve joined group programs, retreats, or courses

No, but I’m ready to invest in myself now

Other...

What’s the #1 thing stopping you from making this transformation right now?

What type of support are you looking for?

Choose all the apply *

How much time & energy can you realistically commit to your transformation?

Choose the one that best suits *

Time is not an issue - I'll make the time!

I can dedicate several hours per week and prioritise my growth

I can commit some time each week, but I have a busy schedule

I want to grow, but I struggle to find the time

Other...

To help me determine the best pathway of support for you ...

Which statement is most accurate for you right now? *

I'm not in a position where I'm willing or able to financially invest in myself

I'm new to personal development but I'm ready to give it a try

Committed to change

Ready for SUBSTANTIAL growth

I'm ALL IN! Fully committed to transformation

Is there anything else you'd like me to know?

Type below

Next Steps – Let’s Connect!

Based on your application, I can see you're ready for the next level in your growth!

Let’s talk about how I can support you. Pick a date and time that suits on the next page and I'll speak to you very soon!