Six Months of Private Coaching - Pay in Full - Shauna Gullbrand Coaching

Book your Weekly Coaching Call with Shauna Gullbrand now.

Duration: 1 hour
Name: *
Email: *
Cell Phone:
Thank you for partnering with me!  Before we begin our journey together, I would like to as you a few questions.  Don't worry, this shouldn't take long.

Have you ever worked with a coach before?
{"type":"checkbox","name":"__generic","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please check at least one item.","options":"Yes\nNo"}

What challenge(s) are you currently facing?
{"type":"textarea","name":"__generic2","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please write your biggest struggle, challenge, or trigger.","height":80,"placeholder":""}

What is one change you're looking to make within yourself or in your life?
{"type":"textarea","name":"__generic3","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"You wouldn't be here if you weren't looking to change something.","height":80,"placeholder":""}

How willing are you to do the necessary 'work' between our sessions?
{"type":"checkbox","name":"__generic4","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please check at least one item.","options":"Absolutely willing!\nI'm willing.\nI have to do work between sessions?\nNot willing.\nI thought you were going to fix me."}

What sort of personal or spiritual practices and disciplines do you engage in?
{"type":"textarea","name":"__generic5","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"You have to be doing something in order to work with me.","height":80,"placeholder":""}

List 4 values that are important for you to live by.
{"type":"textarea","name":"__generic6","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"A value such as love, honesty, or accountability","height":80,"placeholder":""}

How willing are you to acknowledge the child inside of you and cultivate a meaningful relationship with her?
{"type":"checkbox","name":"__generic7","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please check at least one item.","options":"Absolutely willing.\nWilling.\nI'd play around with the idea.\nWait. What?\nAre you saying I have a child inside me?\nNot willing at all."}

What outcome would make working with me a great success?
{"type":"textarea","name":"__generic8","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Dream big! And write something in.","height":80,"placeholder":""}

And finally, what made you decide to take this step forward today?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}

Electronic Signature
{"type":"signature","name":"__signature","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please enter your signature.","height":150}

Thank you for taking the time to invest in your Self!  And for answering the questions with honesty.  I look forward to our first session!


Almost done! Please enter your payment information to complete your purchase.

You will be billed immediately $2,499.00.

Name on Card:
Card Number:
Expiration Date:
ZIP Code: