Application Form
This is a gentle first step. There are no "right" answers.
Just answer with what’s true for you now.
⏱ Takes less than 5 minutes to complete.
⏱ Takes less than 5 minutes to complete.
Are you open and able to invest in this support right now? *
☐ Yes, I’m ready
☐ I’m open, but would like to explore payment options
☐ I’m not sure yet
☐ Yes, I’m ready
☐ I’m open, but would like to explore payment options
☐ I’m not sure yet
Final Notes
Anything else you’d like to share before we connect?
(This could be a note to yourself, a question for me, or anything else that feels true.)
Anything else you’d like to share before we connect?
(This could be a note to yourself, a question for me, or anything else that feels true.)
Confidentiality & Privacy Acknowledgement
I understand that everything I share in this application is confidential and will be held with care and respect.
I understand that everything I share in this application is confidential and will be held with care and respect.
Thank you!