Want to explore working together?

Please take a few minutes to answer the following questions. Once you submit your application, either myself or my assistant will be in touch about next steps.

We only accept clients who are ready to invest in themselves.

What is your name? *

First

Last

What's the best email for me to reach you at? *

Have you ever worked with a coach before? If so, how did that go? *

What led you to book a call with me specifically? *

What are your love and relationship goals that you want support with? *

What are you struggling with the most in dating and relationships? What is the main limiting belief, self-sabotaging tendency, or negative habit that you believe is preventing you from being in a healthy relationship? *

Results are a matter of personal responsibility. Simply signing up to work together is no guarantee that you will achieve results. Are you ready and willing to make the changes necessary to achieve your goals? * *

Yes, I'm ready and willing to make the changes necessary to achieve my goals!
No, I'm not ready or willing to make the changes necessary to achieve my goals.

What is your preferred method of support?

1:1 Coaching
Combination of a group program and 1:1 coaching
Self-paced group program

Do you have the funds ready to invest in making this transformation now? I have 1:1 coaching offers ranging from $497 to $1500 monthly. I also offer group programs offering private access. *

Yes. I have between $1000 to $1500 to invest monthly right now.
Yes. I have between $500 to $1000 to invest right now.
Yes. I have between $150 to $500 to invest right now.
No, I do not have the funds to invest right now.

Is there anything else you would like me to know? *

Phone