YOUR TIME IS NOW.

2025 1:1 Coaching Application

You made it here - and that say's a lot.

Something inside of you is ready for a shift, and you've decided to listen, take action and seek support.

By filling out this application you are applying to become a client in my 1:1 coaching program. This application is your space to pause, get honest, and let yourself be fully seen. Please take your time answering the questions. The more honestly you share, the better I'll be able to assess whether my coaching program is a good fit for your needs.

I'll review your application, and respond with next steps, within 48 hours. Only fill out this application if you are ready to start coaching soon. If you are interested- but unsure, please schedule a consultation call or reach out to [email protected].

This has a mix of multi-choice (7) and open questions (7) - and it will take between 6-8 minutes to fill out.

Ready? Let's get to it.

First Name *

Last Name *

Email *

Phone *

I consent to receiving SMS Notifications from The Deep Exhale. Message & data rates may apply. You can reply STOP to unsubscribe at any time.

How do you feel most days? *

Fulfilled and energized

Mostly okay, but something feels “off” or missing

Stressed and overwhelmed

Burned out or disconnected from myself

Which of these challenges are MOST present for you in this season of life? (Select up to 3) *

If you selected Other, please elaborate:

Which of these feel more true for you, right now? *

I feel generally stable and want support to grow, make changes, and live more intentionally.

I’m going through significant emotional distress, trauma, or mental health challenges and need a space for healing and processing.

I’m not sure — maybe both.

How ready do you feel to start making changes that align your life with your needs and values? *

Very ready — I’m committed to starting now

Somewhat ready — I want this, but I have hesitations

Not sure — I’m still exploring

How open are you to exploring new perspectives and trying new approaches? *

Very open — I’m willing to be challenged

Open — I’m ready to try some new things

Hesitant — I know change is needed, but I resist it sometimes

Have you ever worked with a coach, therapist, or tried other personal growth or wellness practices before? *

Yes, I've worked with a coach.

Yes, I've worked with a therapist.

Yes, I’ve tried other practices (workshops, retreats, yoga, meditation, breathwork, etc.).

No, this is my first time.

If yes, what was most helpful about that experience - and what felt missing?

Tell me about yourself! *

What are you hoping to receive/accomplish through coaching? *

If you could make one shift or change in your life in the next 3-6 months, what would it be? *

What is your biggest motivation for wanting this change? Why is this important now? *

What has gotten in the way of this change, up until now? *

Think of the 2-3 factors that have prevented you from making this change.

Which of the following best describes the support you’re looking for right now? (Check all that apply.) *

A safe, supportive space to reconnect with myself

An aligned path to living with more intention

A creative partner to design and refine steps toward my goals

Tools to shift my mindset and create new habits/patterns with compassion.

Gentle accountability

My coaching packages start at $525. Are you at a place to make that financial commitment right now? *

Is there anything else you would like me to know about you or your situation? *

Thank you for sharing a bit of your world with me.

I look forward to reviewing your application. You'll be receiving an email from me in the next 48 hours.

In the meantime, do something to celebrate what you've done here.

2025 Coaching Application

You made it here - and that say's a lot.

Something inside of you is ready for a shift, and you've decided to listen, take action and seek support.

By filling out this application you are applying to become a client in my 1:1 coaching program. This application is your space to pause, get honest, and let yourself be fully seen. Please take your time answering the questions. The more you share, the better I'll be able to assess whether my coaching program is a good fit for your needs.

I'll review your application, and respond with next steps, within 48 hours. If accepted to the program, you'll have 72 hours to confirm your spot. Only fill out this application if you are ready to start coaching soon. If you are interested- but unsure, please reach out to [email protected].