# Private Coaching Application
**1. Are you currently in a leadership role or running a business, and looking for a way to grow professionally while creating a more fulfilling personal life?**
- Yes
- No
- I'm in a transition and preparing for my next chapter
**2. Which area of your life feels most in need of attention right now?**
- I'm carrying too much responsibility and feel stretched thin.
- My work is taking more time and energy than I want it to.
- I want to feel more connected to my partner, family, or the people I love.
- I'm struggling to set boundaries and honor my own needs.
- I've lost touch with what makes me feel fulfilled and alive.
- Several of these areas feel connected.
**3. Which best describes your current professional role?**
- Business owner / entrepreneur
- C-suite executive
- VP / senior director
- Director / department head
- Manager / team leader
- Other professional role
- Currently in a career or life transition
**4. What would you most like to be different in your life over the next six months?**
*Short-answer field*
**5. What have you already tried to create this change, and what still feels unresolved?**
*Short-answer field*
**6. Why does making this change matter to you now?**
*Short-answer field*
**7. First name**
**8. Last name**
**9. Email address**
**10. Phone number**
*Optional unless phone contact is necessary for your booking process.*
**Submit button: Apply for a Private Coaching Call**