Unleash Your Unstoppable 1:1 Coaching Application

Name

First Name

Last Name

What are your biggest concerns and/or challenges currently?

What is it costing you to keep going as is and NOT change what you are currently doing?

What would be different about your life or your business if you felt totally unstoppable?

Why does now feel like the right time to hire a coach/therapist?

Are you ready to make an investment in coaching to unlock maximized ROI, personally and professionally?

Yes

What's one word you would use to describe yourself?

**Although I am an actively licensed marriage and family therapist (LMFT) in the state of Illinois, I am not practicing as a Mental Health Provider within the context of the coaching relationship and coaching services being offered. As a Certified Executive Coach providing the coaching services offered on this site, I am not providing health care, medical or nutritional therapy services, or attempting to diagnose, treat, prevent, or cure any physical, mental, or emotional issue, disease, or condition. If through our conversations it seems as though entering a therapy context would be more appropriate, I will refer you to another licensed mental health professional within your state to seek further treatment. The coaching services are not eligible for insurance reimbursement.