Let’s change your world

Thanks for your interest in working together! Please make sure you’ve read this page in its entirety before applying.

This application helps me identify the clients with whom I am the best fit. Upon submitting this form you will be directed to a page that outlines next steps and when you can expect to hear back from me. Ready? Let’s get to it:

Name

First Name

Last Name

What services are you interested in? Check all that apply.

What would you like to work on in coaching?

Physical Sobriety (I'm still drinking)

Emotional Sobriety

Motherwound Healing - I'm in contact with my mother

Motherwound Healing - I'm estranged from my mother

Motherwound Healing - My mother has died

Navigating the process of outgrowing relationships with partners, family members, and/or friends

Strengthening my resilience to fear, guilt, shame, and other emotional growing pains

Developing emotional boundaries that help me stop taking responsibility for others' emotions

Setting boundaries and advocating for my needs in my relationships

Please tell me a bit about your current relationship with alcohol.

Even if you are here for mother wound support, this is an important question. Please include frequency, amount, etc. If you are sober, how long have you been alcohol-free?

Please tell me a bit about your relationship with your mother and how it is currently impacting you.

Please answer this question regardless of your level of contact.

Please describe your top 1-3 goals for coaching?

Which coaching package are you interested in?

Would you prefer weekly or bi-weekly sessions?

Is there anything else that you would like me to know?

Do you have any experience participating in coaching, therapy, or other healing modalities? If yes, please share what has been most helpful for you so far. If not, just write "No."

I host sessions with clients on Tuesdays, Wednesdays, and Thursdays between 10am ⁠— 3pm Eastern Time. What days/times within this window generally work best for you?

How soon would you like to begin private coaching?

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