Complete the form below to have a One-On-One Conversation With Cindy Who broke it off? How long were you married? How Frequently do you think of your ex? Often Sometimes Rarely How do you feel when you think of your ex? Anger Hurt Sadness Indifference What best describes you? I want to heal this pain and feel like myself again I want to regain control of my life I want to stop thinking of my ex I want to reconcile with my ex I want to start dating again and find a new love Do you have children at home? Yes No What are the biggest challenges you are currently facing? What type of support do you want? On a scale of zero to 10 how important is it for you to: Find your true worth ---12345678910 Find the courage to go on ---12345678910 Forgive yourself, your ex or??? ---12345678910 Help your child accept the divorce ---12345678910 Your Name (required) Your Email (required) The State you live in? Your Phone Number (required) What day and time would be best for you? Day of the week: ---TuesdayWednesdayThursday Time of day: ---Morning (9:00 am to noon)Afternoon (noon to 5:00 pm)Evening (5:00 pm to 9:00 pm) What is your second choice? Day of the week: ---TuesdayWednesdayThursday Time of day: ---Morning (9:00 am to noon)Afternoon (noon to 5:00 pm)Evening (5:00 pm to 9:00 pm) Statement of Understanding I understand that Cindy Holbrook provides personal coaching to divorced women to help them get off the emotional roller coaster, deal with their ex, gain confidence and be empowered to create the life of their dreams. Coaching is not a substitute for counseling or therapy. The coach is not acting in the capacity of a licensed therapist. The coach's role is to support, encourage, motivate, advise, provide information and guidance. The client's role is to weigh the information and advice provided before taking any steps. The client understands and acknowledges that the coach holds no responsibility for the clients' actions. The client takes full responsibility in the decisions they make after being coached as well as for the consequences of those decisions. , I agree to the above "Statement of Understanding" Enter the code in the above field ... So that we know you are human :-) We will be in contact with you within a few days to schedule your appointment.