6 Week Coaching Series

This is an application for the 6-Week Coaching Series. Places are limited, and not all applicants will be offered a space.

Your responses help me understand what you’re navigating, what you need, and how I can best support you.

You’ll hear back within 48 hours with next steps.

First name

Last name

Email*

Location/ Time Zone

Coaching Questions

What are you currently navigating that you’d love support with?

(Examples: burnout, overwhelm, emotional fatigue, identity confusion, decision fatigue, lack of clarity.)

How does this show up in your day-to-day life?

(Your patterns, symptoms, behaviour, routine, relationships.)

What have you already tried, and what felt missing?

(Coaching, therapy, retreats, self-help, etc.)

What outcomes or shifts would feel meaningful for you over the next 6 weeks?

(Clarity, confidence, routines, nervous system regulation, identity, purpose.)

I agree to receive program updates + early access.

What feels most out of alignment right now?

Work

Routines

Self-trust

Emotions

Identity

Relationships

Capacity / Energy

Sense of direction / purpose

On a scale of 1-10, how ready do you feel to commit to this work right now?

Is there anything about your mental health, wellbeing, or history that would help me support you safely?

(Trauma-aware, not diagnostic or treatment) Disclosure of personal information is completely optional

Agreement *

I understand this is a coaching container focused on self-led change, not therapy or clinical mental health treatment.”

I understand I will receive a response within 48 hours with next steps.

I consent to being contacted regarding my application.

Contact Us

Thank you for your interest in Space Between Wellness.

Whether you’re seeking support, collaboration, or have a general enquiry, I’d love to hear from you.

Share your details below, and we’ll be in touch soon.

Thanks for submitting!

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