Thank You For Your Interest in Coaching with Laney

Thank you for your interest in coaching with Laney, please take a moment to fill out the application, you will then be taken to a calendar page where you can set your appointment.

Application for Coaching

Thank you for stopping by! I just a few more details to confirm your appointment. I promise it won't take long.

Step 1 of 8

Name*
First Last
Email*
Phone*

What is your biggest concern right now?*

What are some things you've done in the past to address your concern?*

If you could change one thing today what would it be?*

On a scale of 1-10...10 being "I'm all in no matter what" how committed are you to your health, happiness and recovery.*

If you didn't answer "I'm a 10" on the last question, what keeps you from being a 10? And...what do you need to be a 10?

How much are you willing to invest in your future self?*
- up to $1,000
- up to $10,000
- up to $25,000
- As much as it takes

Is there anything else you'd like Laney to know before you are redirected to book your appointment?