Name *
Rate each of the following areas *
Rate each of the following areas
I am attracting the women I really want.
I feel great/confident about myself.
I know what I want with women.
I feel right/good about what I want with women.
I feel free to ask women out and ask for what I want/need with women.
I appreciate and respect women.
I really care about women as human beings.
I have access to my emotions and feel "embodied".
I feel centered, clear, and "on purpose" in my life and work.
I feel great about my sexual desires and am free to express myself sexually.
Assuming everyone has some way of holding back or sabotaging our lives, which are your favorite methods? *
Mark all that apply
What would you get from coaching that would be most valuable to you? *
Choose up to 3
How coachable are you? This means you are open to input and feedback; comfortable in partnership; ready to make changes. *
Choose 1
Your primary interest for reaching out her is: *
Choose 1