Relationship Coaching Interest Form Name * First Name Last Name Email * Phone * (###) ### #### What desires and challenges are you currently holding, in regard to your relational life? This could relate to partners, friends, community, family, lovers and playmates... whatever feels most relevant for your current process. Can you paint a picture for me, of where you're at currently, and where you'd like to be? What draws you to working with me? What aspects of my style resonate with you? Is there anything you'd like me to know, as I design our sessions? How can I best support your needs & personal learning style? Do you have any questions for me? I am available for (and enjoy!) a range of structures, in shaping the coaching container (i.e. meeting weekly for a month, one 4-hour session, biweekly for three months, etc). Please let me know a structure that would work well for you, and know that whatever the two of us decide will be a mutual commitment. Please also let me know where you would place yourself on the sliding scale (refer to my "Offerings for Individuals" page). Thank you!