Coaching Application - Journey to Love and Happiness

Skip to content

Home
About
Work With Me
Contact

Home
About
Work With Me
Contact

Worthy by Design
Premium 1:1 Coaching - Application

Congratulations on taking your first or next step in your journey to break free from

self-abandonment, reclaim your true identity to embody lasting self-worth!

Instructions and Important Notes:

Read all of the included information carefully and be sure to fully complete the application before you submit it.
All of your information and records will be used for coaching and business purposes only and will never be passed on to or used by a third party. For more information please see our Privacy Policy.

Coaching is not for everyone and coaching spaces are limited, so we will only move forward if we both agree that it is a good fit.

If approved, I will email you in the next 3-5 business days to setup your free strategy call with me.

Name *

First

Last

Preferred First Name or Nick Name (if applicable)

Email *

Instagram Handle (optional)

Phone Number *

Address (City, State/Province, Country) *

1. What inspired you to explore the Worthy by Design™ program at this time? *

2. How would you describe your current relationship with yourself? *

3. In what areas do you feel you’re still shrinking, over giving, or people-pleasing? *

4. What are 1–3 patterns you’re ready to break? *

5. What would it feel like to fully embody your self-worth? *

6. Have you ever worked with a coach or therapist before? If so, what was your experience? *

7. What has held you back from achieving this goal in the past? *

8. Are you ready to invest time, energy, and intention into your transformation? *

9. What support do you want and need most right now? (Clarity, confidence, healing, structure, etc.) *

10. Is there anything you want me to know about you before we begin?

11. Do you have any questions about the course or coaching process?

I can be relied upon to be on time for calls and appointments and agree to give 24 hours’ notice if I need to reschedule. *

Yes
No
Unsure

I am committed to doing the work in the coaching sessions as well as any homework assignments given. *

Yes
No
Unsure

I’ll give my coach the benefit of the doubt and am willing to try new concepts and different ways of doing things. *

Yes
No
Unsure

I am willing to speak my truth openly, and not be concerned about what my coach may be thinking. *

Yes
No
Unsure

If I feel I’m not getting what I need or expect from my coach, I will communicate this to them so that we can find a solution to ensure that I get the most out of this partnership. *

Yes
No
Unsure

I am ready to show up fully, do the inner and outer work, and operate at a high level in order to transform my life. *

Yes
No
Unsure

I able to commit financially and have adequate funds to pay for coaching. I see coaching as a worthwhile investment in myself and my life. *

Yes
No
Unsure

Home
About
Work With Me
Contact
Privacy Policy
Terms of Use

Journey to Love & Happiness Coaching - Laurel Cronin

Copyright 2024