application form | Eric Racette

Application form for Working with me.

It’s important to me that you feel safe and feel a sense of connection when working with me.

*Once I have read over your application, I will reach out to schedule a discovery call. If you don’t hear back, please check your spam folder.

First name

Last name

Phone

Have you worked with a therapist, practitioner, coach, or mentor before?

What are you struggling with right now that you're wanting support with?

Long If we were to work together, what would feel like a powerful outcome for you?

Have you participated in any of my offerings or worked with me before?

Yes

Where did you hear about me/ How did you find me?

What would stop you from committing fully to this container?

Are you willing to prioritize this work—emotionally, energetically, and financially?