1:1 Coaching Application

First name

Last name

Email

What are your preferred pronouns?

She/her

They/them

He/him

Other

Why are you interested in working with me? What are you looking to get from coaching?

What parts of your pleasure would you like to explore, heal, and/or deepen?

If you want support with non-monogamy, what is your relationship structure currently like? What is it that feels challenging for you in non-monogamy?

What do you feel holds you back from being your most liberated, fully-expressed self?

What is your previous experience with therapy/coaching/personal development?

Have you recently or are you currently being treated for any psychological health diagnoses?

Do you have a preference between a hands-on, 6-month container or ongoing sessions?

Pricing for this coaching ranges from $180/hr to $1k/month. Would you like to discuss a payment plan?

Yes

No

Is there anything else you’d like me to know?