Coaching Application Form

First Name *

Last Name *

Email *

What has brought you here at this point in your life? (What feels alive, tender, or ready to change?) *

How would you describe your parenting journey so far? (What have you already explored, learned, or implemented?) *

When something isn’t working in your life or family, where do you tend to look first — outward, or inward? Why? *

What patterns, beliefs, or ways of being do you feel ready to outgrow? *

How are you currently supporting your own emotional and nervous system health? *

What parts of yourself feel neglected, silenced, or ready to be reclaimed? *

Imagine your life two years from now if this work unfolded beautifully. What would be different about you? *

This work involves deep self-responsibility, emotional honesty, and willingness to change long-held patterns. What draws you to this kind of work now? *

On a scale from 1–10, how ready do you feel to take full responsibility for your growth and healing? Why that number? *

Is there anything in your life that might prevent you from fully committing to this process right now? If yes, please share.

Are you able and willing to invest in yourself financially for this level of support if we decide to work together? *

How did you find me? *

I consent to receive communications and understand I can opt-out at anytime.

This space is for women who are no longer willing to shrink, barely survive, or parent from old conditioning, but are ready to lead themselves and families from their deepest truth, nervous system, and heart 💗

Once submitted, I will personally review your application and contact you regarding next steps.

With respect for your vulnerability and courage,

Lisa Filkin