Name *

First Name

Last Name

Where in your life do you envision using the compass?

Check all that apply

Career growth

Relationship changes

Self-worth

Parenting

Habits

Please select if you experience any of the following *

Suicidal ideation

Panic attacks

Self-harm

Acute mental health symptoms

Current crisis unrelated to mental health

Relationship instability

On the brink of major life change

None of these

How motivated are you to develop a tool to get to that place of success?

Select one

Not motivated at all

Slightly motivated

Neutral

Very motivated

Extremely motivated

How do you currently hold yourself accountable?

Writing down goals and tracking progress

Doing things with buddies

Using an app

Journaling

Self-criticism

Other

How soon do you want to complete the three hour coaching for your Courage Compass?

Select one

Within a month

1-2 months

3-5 months

6 months or more

How do you imagine scheduling the time?

3 hours at once

One 2-hour session, one 1-hour session

Three 1-hour sessions

Other

I am aware that this is not therapy and is not treatment for a mental health diagnosis. Thus it is not reimbursable through insurance, nor paid by insurance. *

Insurance covers problems that are already there. Courage Compass coaching aims to prevent problems from arising. It is about progress and prevention, not reaction and solution.

Yes

No

I have invested countless hours over the last 4 years developing, adapting, editing, and polishing this tool. I care deeply about finding helpful and productive methods to gain clarity for goal attainment. The investment for creating your Courage Compass is $200/hour. Are you ready to invest in yourself and future you? *

A deposit will be required prior to starting the first session.

Yes

No

Not sure

Need to know more