The Oak & the Open Field

Coaching
Inquiry

I’m glad you’re here. This brief form helps me understand where you are and what you’re looking for. There are no right or wrong answers.

— Beth

Name (First and Last) * Please enter your name.

What state are you in? * Please select your state.

How did you find me? *

Friend or client referral Referral from therapist or provider Google search TikTok Open Meadow Therapy site Other

Please select an option.

Which best describes your connection to military service?

Combat Veteran Veteran Active Duty Service Member Military Spouse / Partner Civilian with trauma history None of the above

What are your main focus areas? (Select all that apply)

Trauma & recovery Life transitions Purpose & direction Relationships Stress management Self-worth & confidence Resilience building Parenting Other

What’s bringing you to consider coaching at this point in your life? * Please share a little about what’s bringing you here.

Fee acknowledgment *

My fee range is $80–$150 per session based on gross annual household income (sliding scale, self-reported). Coaching is not covered by insurance.

I understand and accept the fee range

Please confirm you understand the fee structure.

How would you prefer I reach out? *

Email Google Meet (video call)

Please select a contact preference.

Your email address * Please enter a valid email address.

Before submitting, please confirm *

I am 18 years or older I understand this is a coaching inquiry, not a therapeutic relationship or guarantee of services If I am in crisis, I will call 988 (press 1 for Veterans Crisis Line) or go to my nearest emergency room

Please confirm all items above.

Thank you for reaching out.

I’m glad you’re here.

I’ll personally review your responses and be in touch within 24–48 business hours. If I’m not the right fit, I’ll do my best to point you toward someone who is.

Bethany Elton

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