Leading Lady - Application

Leading Lady is a trauma-informed leadership coaching program for high-performing women ready to stop their self sabotage and lead from inner clarity instead of self-doubt.

10 private sessions + ongoing voice support. Deep permanent change.

Welcome

-

Please take your time to fill out this form. The answers will be a foundation to build our coaching sessions on.

First Name *

Last Name *

Address

Street Address

City

State

Country

Postal Code

Organization

Email *

About You!

-

Please help me understand why you are the person you are today, and what kind of person you would prefer to be.

About you

What brings you to Leading Lady right now, and what do you hope this mentorship will do for you? *

Have you previously worked with coaches or therapists personal development journey? If yes, what felt supportive — and what didn’t? *

What in your life or in yourself do you want to change? *

Are there past experiences or wounds — from childhood or later in life — that you sense may still influence how you feel or respond today? If so, you’re welcome to share what feels relevant.

How do you usually handle the situations you wish to change?

What kind of dialogue happens in your head, what are the meanest things you say to yourself, and in which ways do you judge yourself?? *

Do you currently work with any therapist, coach or mentor on your path? If yes, please elaborate. *

Are you currently taking any medications related to mental health (such as antidepressants, antipsychotics, or mood stabilizers)? *

Is there anything in your body — health conditions, sensitivities, or ongoing treatments — that you’d like me to know about?

Are there any ways your system, body, or energy needs special care or pacing during our time together?

Your answers are held in confidence and used only to ensure your safety and comfort within this space.

The Divine, The Sacred or The WooWoo

-

People have many names for their higher beliefs, if any. This is simply a space for you to name what feels true for you — so that I can hold that in mind while coaching. I am an open minded person and coach people of all faiths. Personally I believe in dual aspects of God naming them Mother Earth and Father Sky.

Do you believe in God, Source or other higher power? If so, by which name do you call it and please describe your relationship.

How do you currently nurture that connection?

🌞Logistics

-

A few practical details so we can stay in rhythm.
This helps me understand your availability and how you found your way here.

What is your general weekly availability for sessions? *

Please enter your Time Zone *

Leap of Faith

When the inner shift becomes outer movement.

-

Are you ready for this? This is the moment where your “maybe” meets the part of you that says yes, and the part of you that says no.

If your life magically changed to match your wildest dreams, what would it be like? How would you feel in your body, your days, your relationships? *

When you feel into joining this program, how ready do you sense you are to walk this next stretch of the path? *

I want to, but probably not going to

I want to, but I'm a bit scared

I know it’s time — I’m ready!

Lets go - where can I pay?

Are you ready, willing and able to invest in yourself and offer $3,700 in return? *

Yes

No

I would need a payment plan

This offering asks not only for financial commitment but for your commitment to the meetings we schedule, to be present, and ultimately to be willing to feel your body and dive deep. How does your body respond when you imagine saying yes to this journey? *

Boundaries & Consent

By submitting this form, I confirm that I understand Leading Lady is a coaching and spiritual development program, not a form of therapy or medical treatment. I acknowledge that I am not currently taking medications for mental health conditions that could affect my safety during this journey.

I consent to my information being stored securely and used only for communication related to this program.

🌙 I open at the close

-

Thank you for meeting yourself so honestly here.

--

Take a breath before you press the button.
Let it be a moment of choice — not from pressure, but from presence.

-
Your journey has already begun, just by listening to the inner voice that brought you here.

Privacy Policy | Terms of Service

Not quite ready yet?

Subscribe to the blog and you will find me when you are. No spam, unsubscribe anytime.