Apply for the 12-week coaching programme

Please fill out the short form and Jamie will be in touch to arrange a discovery call.

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Name *

First

Last

Email *

Age *

Which of these describe your relationship status? *

• Single
• Married
• Living with partner
• In a long-term relationship
• Separated
• Divorced
• Widowed

Do you have children? *

• Yes
• No

What is your current/most recent job title? *

Briefly describe your situation and what you hope to achieve from coaching. *

What are your biggest challenges right now? *

If you had a magic lamp, what would your three wishes be? *

What did I write or say in the communications that brought you here that most resonated with you? *

Why do you think somatic coaching is right for you? *

Do you have the means – in terms of finances, time and determination – to commit to this 12-week coaching programme? *

How do you want to attend coaching sessions? *

• In person
• Online

If online, which time zone are you in?

How soon would you like to begin the programme? *

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