Personal Information

First name

Last name

Age

Email

Phone

City

State

Instagram Handle

What type of support are you interested in?

Wellness Coaching

Wellness Mentorship

Training Program

I'm not sure and would like guidance

Tell Me About Your Current Season

What prompted you to apply at this time?

How would you describe your current season of life?

Your Wellness Journey

What wellness goals are most important to you right now?

Have you ever worked with a coach before?

Yes

No

If yes, what was your experience like?

What do you think has been holding you back from creating the change you desire?

Faith, Growth & Healing

How would you describe your relationship with God right now?

In what ways would you like to grow spiritually, mentally, emotionally, or physically during the next six months?

Which statement best describes where you are today?

I feel stuck and unsure how to move forward.

I know what I need to do but struggle to stay consistent.

I feel disconnected from myself and/or God.

I'm navigating a major life transition.

I'm ready for deeper growth and accountability.

Other

Coaching Readiness

Why did you choose that number?

What would success look like for you six months from now?

What made you interested in working specifically with Faithfully Her Wellness?

Support & Investment

Which coaching experience are you most interested in?

Standard Coaching (Bi-Weekly Calls)

Intensive Coaching (Weekly Calls)

Not Sure Yet

Are you prepared to invest time, energy, and resources into your growth during this season?

Yes

No

I'd like to learn more

Final Thoughts

Is there anything else you'd like me to know about you, your journey, or what you're hoping to gain from coaching?

Thank you for taking the time to complete this application.

I review every application personally and prayerfully. If it seems like we're a good fit, I'll reach out with next steps and information about the coaching experience that best aligns with your goals and current season.