Please fill this out as best as you can - don't stress or overthink it! I will review ASAP, and be in touch if I think we're a good match.

First Name *

Last Name *

Phone *

Email *

Business Name (if you have one)

What made you apply today? (The real reason, not the polished version.)

What feels off, stuck or overwhelming in your life or business right now? (Could be identity, direction, burnout, marketing, systems, decision fatigue - anything.)

If things shifted in the best possible way over the next 3 months, what would that look or feel like for you? (Personally and/or professionally.)

What are the top 1–2 areas you want clarity on? Pick your mix:

Identity (personal development/neurodivergence)

Direction & next steps

Emotional Regulation

Systems & Tech

Marketing Strategy

Boundaries / Confidence

Tell me about your wiring. (ADHD, Autism, Dyslexia, sensory stuff, executive function challenges, emotional intensity - whatever feels relevant for how you work + how you run your business.)

In your business/work life, what tends to get in your way? (Examples: avoidance, over-commitment, ideas overload, inconsistency, losing momentum, perfectionism, burnout cycles.)

How do you like to be supported? (direct feedback, accountability, structured plans, emotional regulation support, strategic guidance, practical next steps, gentle encouragement, or a mix)

What’s one pattern or behaviour you’re ready to stop carrying — personally or in your business?

Why does NOW feel like the right time to invest in this level of support? (Identity, business, burnout, new direction — whatever’s true.)

Website link

Anything else you want me to know while I review your application? (optional, share whatever is important)

If you have Social Media accounts, or are using other platforms, please link below (Youtube, Substack, Threads etc)

Social Media - Instagram

Social Media - Facebook

Social Media - Linkedin

Social Media - TikTok

YouTube

Other (Threads, X, Substack, etc)

By checking this box, I consent to receive messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others.