Take Command Coaching Program Application

Take some time to submit thoughtful responses.

I will review your application and determine if you're a right fit.

Look for an email from me to schedule a 1:1 consultation call to explore us working together!

Click the button below to start.


Question 1 of 28


Question 2 of 28

Email address:

Question 3 of 28

Why is now the right time for you to work with a Take Command Coach?

Question 4 of 28

Please briefly describe how you heard about my coaching services and why you would like a 1:1 Consultation Session with me:

Rate yourself in the following areas on a scale of 1 (lowest) to 10 (highest).

Don't stress about the exact number.

Give your overall rating over the last 6 months.

Question 6 of 28

Clarity: Do you feel you are clear about who you are, your purpose, and the direction you want to go in your life? 1 (lowest) to 10 (highest)

Question 7 of 28

Energy: Do you consistently have enough mental and physical energy needed to excel, accomplish your goals, and feel motivated and happy? 1 (lowest) to 10 (highest)

Question 8 of 28

Courage:  Do you take action and consistently express who you truly are and what you truly think, need, and desire with the world? 1 (lowest) to 10 (highest)

Question 9 of 28

Productivity: Are you consistently focused and effective, and are you good at minimizing distractions and maintaining priorities? 1 (lowest) to 10 (highest)

Question 10 of 28

Influence: Do you feel you have the social influence with your family, friends, and team needed to accomplish your goals? 1 (lowest) to 10 (highest)

Tell me more about yourself!

Complete these questions to tell me more about you, your goals, your stresses, and your life!

Question 12 of 28

What do you do for a living and why did you choose that career?

Question 13 of 28

What are your top 3 goals you are striving to achieve right now?

Question 14 of 28

What major stresses or challenges are you struggling with right now?

Question 15 of 28

When you feel like your most successful and happy self, what makes you feel that way?

Question 16 of 28

What would your dream life look like if you could wave a magic wand and make it happen?

Question 17 of 28

What else has prevented you from having that dream life?

Question 18 of 28

What goal or dream have you ever given up on or failed at, and what do you believe caused you to stop or fail?

Question 19 of 28

What 3 big changes would you like to make in your life in the next 12 months?

Question 20 of 28

What are you most proud of and excited about in your life?

Question 21 of 28

What negative recurring thoughts, fears, or behaviors would you like to overcome in order to feel more psychologically free, confident, and successful?

Question 22 of 28

What eating, exercise or general health habits would you like to begin or break in order to feel stronger and more healthy physiologically?

Question 23 of 28

What distracts you the most from being more productive, and what major projects or missions are you struggling to complete faster or more efficiently?

Question 24 of 28

If you were more persuasive or influential, what dream or desire would you ask others to support you in achieving?

Question 25 of 28

When do you struggle to be fully present in your day or in any of your relationships?

Question 26 of 28

How purposeful do you feel in living each day, and how would you describe your purpose?

Question 27 of 28

Why would you like to work with a Take Command Coach?

Question 28 of 28

Why would you be a great client if we worked together?

Confirm and Submit