Behavior Change Coaching Application

Thank you for taking the time to fill out the following questions prior to your Discovery Session. This will give me a chance to get to know you better so we can focus our time on finding out if working together is the next right step for you! All of your information will be kept confidential.

Name

First Last

What is the thing you’re struggling with the most?(Required)

What do you hope to get out of our time together?(Required)

What has worked for you in the past (if anything)?(Required)

What is the biggest resistance that comes up when beginning to work on these goals yourself?(Required)

What is your stress level like? 1-10(Required)

10 being I am going to rip my hair out

How do you cope with stress?(Required)

Are you coachable?(Required)

Do you take feedback? Are you willing to try new things? Willing to see things from a different perspective?

Are you ready to invest in yourself?(Required)

Behavior Change Coaching Application

Let’s dive in!

Your discovery session is complimentary.

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