RSVP 1 — Thanks Divorce

Skip to Content

Thanks Divorce

Coaching

Janine Bell

Thanks Divorce

Coaching

Janine Bell

Coaching

Janine Bell

Client Application Form

We are one step closer to starting your coaching program! I just need a little information from you before we get started.

Name *

First Name

Last Name

Email *

Phone *

(###)

###

####

What City/State are you in? (or City/Country for non-US) *

How long were you married? *

How long ago was your divorce? *

What do you hope to get out of this coaching program? *

Do/have you used other modalities to help you heal from your divorce? If yes, please share below. *

Which program are you interested in?

What topics are you most excited about exploring?

Emotional Well-Being & Identity

Physical & Social Environment

Life Design & Visioning

Fun, Leisure & Creativity

Find Your Glow

Love, Sex & Spirituality

Other

Which of these best describe your availability for our weekly sessions? *

Select all that apply

Weekday Mornings

Weekday Midday

Weekday Evenings

Weekend Mornings

Weekend Midday

Weekend Evenings

Is there anything you'd like to add?

Thank you for your interest in continuing your journey toward your best self!

After reviewing your information, I will send you an email to schedule a (complimentary) Co-Creation Session (15-45 minutes). In this session we will determine whether this coaching aligns with your post-divorce journey and answer any questions you have for me.

If you’re interested in being a guest on the podcast, kindly fill out this form.

For general inquiries, fill out this form.

Sign up with your email address to receive news, and updates.

First Name

Last Name

Email Address

We respect your privacy.

© Janine Bell, Inc. 2024 All Rights Reserved.