Creative Executive Function Coaching Application

Executive Function Coaching for Creatives Inquiry

Please fill out this form to give me an idea of what you are looking for. I will reach out for a free 30 minute phone consultation to learn more about you or your Creative and answer your questions to see if we would be a good fit!

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Name

First Name

Last Name

Email

Which Program Are You Interested In?

THRIVE 6-Month Curriculum-Based Program

Monthly Coaching Options

Creative Goals Working Circle

If you are a caregiver applying on behalf of a young creative, please tell me their name, age, and grade (if in school).

In 3-5 sentences, please tell me why you are interested in this program either for yourself or for your young creative?

Have you or your young creative ever tried coaching before?

Yes

No

If so, was it successful? Why or why not?

What is the timeframe for possibly starting a program?

What time zone are you in?

Please provide general days/times during the week you are generally available for a 30 minute conversation.

Any other questions or information you would like to provide?