Thank You for Your Interest in the Regain Your Core™ Coaching Program!
This application is an important step that includes several questions to help us determine if we’re the best fit to support you on your journey. Please take your time to complete the application thoroughly. We deeply value your privacy, and the information shared will be handled with care and confidentiality.
If we require additional details, we’ll contact you using the information you provide. Kindly note that incomplete applications do not receive a response.
We’re excited to review your application and hope to work with you!
-Applications are currently open! Programs begin May 19 -
Question 1 of 11
First & Last Name
Question 2 of 11
Telephone & Email
Question 3 of 11
What is your best hope from us working together, and why is achieving it important to you?
Question 4 of 11
Please share why you believe Regain Your Core is a good fit for you.
Question 5 of 11
What aspects of your life are you currently focusing on improving?
Question 6 of 11
What strengths, skills, traits, and support systems (e.g., spouse, trusted friend, therapist, church, or community) do you have to help you in the areas of your life you'd like to improve?
Question 7 of 11
Have you been diagnosed with a mental health condition, such as bipolar disorder, major depression, or PTSD, that requires clinical or therapeutic support?
Question 8 of 11
In the past year, have you experienced thoughts of self-harm or suicide, or engaged in behaviors that caused harm to yourself?
Question 9 of 11
Are you currently working with a therapist, counselor, or psychiatrist? If so, could you share which kind of support you’re receiving and the overall focus of your work?
Question 10 of 11
Please include any additional information you'd like us to know.
Question 11 of 11
Which program are you applying for?
Group Coaching (Regain Your Core Tribe)
1:1 Coaching (3 openings only)