DARE Coaching Application

Full Name

Email *

Phone *

Where are you located? *

Preferred Contact Method:

Current State

What’s bringing you here now?

How are the symptoms of burnout showing up for you?

Have you tried anything to support your healing so far?

What kind of future are you hoping to rebuild through this work?

Your Readiness

What kind of support do you feel most drawn to right now?

I want a deep reset and someone to walk it with me

I want structure and tools I can use between sessions

I’m not sure yet—just know I can’t keep doing this alone

What’s your capacity for coaching right now?

I’m open to weekly or biweekly sessions

I’d prefer flexible or voice-note-based support

Not sure—would love your guidance on what’s doable

The Fit

What kind of coach are you looking for?

Anything else you want me to know before we explore working together?

Invite

If we both feel it’s a fit, are you open to starting this journey in the next few weeks? *

Yes, I'm ready!

Possibly—I’d love to talk through it first

Not yet—just exploring

How did you find me or my work?