Yes, I'd like to apply for a Discover Your Genuine Self Session...

Your next step is to complete this brief application to determine if you qualify for this complimentary session and to better help me identify which program will best meet your needs.

I know what a vulnerable step it is to even reach out and to share a bit about yourself and where you're at in your healing journey. Since I've been doing this for a long time, I know that I'll be able to determine how I can be of best service to you and what our best path forward can be based on your answers to this application. So I want to thank you in advance for taking the time to complete this.

If you have any questions or concerns, please feel free to email me at coach@rachelgrantcoaching.com.

1. Name *This question is required.

2. Preferred Pronoun (e.g. she, he, they, etc.) (OPTIONAL)

3. Email (NOTE: msn, outlook, hotmail often block my emails, so best to use gmail or other account) *This question is required. This question requires a valid email address.

4. Phone *This question is required.

5. What is your current occupation and how long have you been doing it? *This question is required.

6. What's your age? *This question is required.

8. Anything not listed that you are looking for guidance and support around?

9. What’s happening in your life right now that has you potentially considering dealing with the trauma? And ultimately, what’s your goal? *This question is required.

10. On a scale of 1-10, how important is it to you to overcome these challenges? (1 = NOT important ; 10 = VERY Important) *This question is required.

1

10

You said that this was fairly unimportant for you to overcome these obstacles. Please say a bit more so I can better determine our next step. *This question is required.

16. Is there anything else you would like me to know about you?