1:1 Coaching Application Name * First Name Last Name Email * Age * You have to be 18 years of age or older. What do you struggle with? * Share briefly for how long & what symptoms exactly What have you tried to solve your problems? Have you worked with a therapist or coach before? If yes, what went well and what didn't work? And why? Coaching Duration * 4 Weeks ($1750) 6 Weeks ($2300) 8 Weeks ($2900) 12 Weeks ($4000) Where do you currently stand regarding weight loss? * Healthy, sustainable fat loss is nothing to be ashamed of, but it can’t happen at the same time as healing. If fat loss is a desire of yours, are you willing to put this goal aside for as long as the healing process takes (which may last several months)? Please answer yes or no below. Yes No What do you expect from 1:1 coaching with me? * What are your main goals/desires? 20 min Discovery Call 📅 * Please leave your preferred time and time zone, I will suggest a date. Please leave any additional info or questions here Thank you!