Apply for Coaching

Are you looking to transform your love life and build deeper intimacy within yourself and your relationships? I got you! Before we hop on a discovery call to see if we are the right fit for each other, do you mind if I ask you a few questions?

Name *

Email *

Phone Number *

How did you get introduced to me and my coaching program? *

Instagram
Facebook
Referral
Event
Other

How would your friends and family describe you in 3 words? *

Where do you hope to be in 5 years? *

Tell me a little about your current relationship *

Single and ready to mingle but the struggle is real
In a relationship/marriage and the intimacy is okay but we’d love to explore an even deeper connection
In a relationship/marriage and we are lacking both intimacy and an emotional connection

Why are you interested in working with a Holistic Intimacy Coach? Tell me a little about what’s going on in your world? *

In 60 days time, what would your “Dream Come True” outcome be after working together?

What’s your biggest obstacle, preventing you from having what you want? *

The personal One-on-One Coaching experience, is meant men and women who are ready and willing to get real and do the work that most people are not willing to do. It means expanding your thought process and being open to change, in order to get the results you are looking for. I am here to guide you through the process but you have to do the work to see results. Are you in a financial position to commit to yourself? *

I have the funds to invest into myself
I will find the funds to invest into myself
I do not have the funds to invest into myself

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Created by DW Studio