Application

First name

Last name

Email

Phone

What's prompting you to apply right now?

I’m less interested in urgency, and more interested in what actually shifted. What shifted? What happened? Why now, and not 6 months from now?

Where do you feel the most misaligned in your life currently?

(Career, relationships, self-trust, emotional regulation, decision-making, etc.)

How would you describe your current internal state?

Select all that apply, then add a brief note if you want.

Add a brief note about your answer to the last question here:

What feels most present for you right now?

What have you already tried to address this?

I’m not looking for perfection here – just effort and self-awareness.

When you feel stuck or overwhelmed, what do you usually do?

There is no “right” response here. Just honesty.

What level of responsibility are you willing to take for changing how you lead yourself?

This isn’t about self-judgment – It’s about willingness.

Answer with a scale of 1 to 10, and one sentence.

How do you typically use support?

Choose the option that fits best.

Are you currently working with a therapist, coach, or other support professional?

Answer Yes / No. Add brief context.

What worked? What didn’t?This doesn’t disqualify you. It just helps me understand scope and support.

Are you willing to be challenged and redirected if your patterns are part of the problem?

Answer with Yes / No. Add one sentence.

Which container are you most interested in right now?

The Recalibration

The Identity Shift

I'm not sure. I want guidance.