Coaching application page - Captivating Courtship

READY TO JOIN CAPTIVATING COURTSHIP COACHING?

Complete the application for a call with a dedicated team member to explore if coaching is right for you.
dO NOT USE AUTOFILL TO COMPLETE THE APPLICATION

Any questions about this application? Email captivatingcourtship@gmail.com

What steps have you already tried in the last 12 months? *

Online DatingReferrals from Friends & FamilyEventsRelationship courses/seminars/programs/booksMatchmakingTherapy/CounselingNothingCheck all that Apply

Are you looking to attract a partner in the next 6-12 months? *

YesNo

How many compatible men have you courted/dated past 30 days in the last 6 months? *

Do you believe if you had clear step-by-step guidance to improve your love life, you could transform your relationships and attract a partner in the next 6-18 months? *

Yes, I believe I can attract a good man if I had some help.No, I don't feel confident much will change, even with help.Not Sure if having a coach will improve my love life.

What do you feel is your biggest relationship challenge? *

Overthinking & Relationship AnxietyUnclear on how to court for commitmentStruggles with confidence or self-worthStruggles with vulnerability & trustRecent breakup/divorceDifficulty balancing love & careerUnclear where to meet compatible partnersDifficulty with reactive or avoidant communicationCheck ALL that apply

On a scale of 1-5 how important is finding a partner in the next 6-12 months? *

54321

Do you have 2 hours weekly to dedicate to your love life? *

YesNo

Coaching is a done WITH you service . Are you prepared to invest in coaching today? *

YES, ASAP!Nominimum deposit to get started is $2,500

How did you find out about Captivating Courtship? *

Courtship Code PodcastInstagramLinkedinFacebookGoogle/WebsiteReferralCheck one

Full Name *

Email Address *

Street Address *

Apartment, suite, etc *

City *

State/Province *

ZIP / Postal Code *

Country

On a scale of 1-5 how committed are you to attracting a partner in the next 6 months?

54321Check one

I understand this is not a free coaching call, rather a call with a dedicated team member to explore if making an investment in private coaching with Relationship Coach Zara Johnson is right for me. I verify I have answered everything truthfully. *

Yes