Disagree Without Disrespect™ Coaching Program

Thank you for your interest in the Disagree Without Disrespect™ Coaching Program. This is a 12-week, results-driven coaching experience designed to help leaders, couples, and families turn conflict into connection without sacrificing convictions.

Please complete this short application so we can determine if this program is the right fit for you. Your answers will remain confidential.

First Name *

Last Name *

Email *

Phone *

City *

State *

Are you applying as an Individual or a Couple? *

What is your biggest challenge right now when it comes to handling conflict or disagreement? *

How do you typically respond when you face disagreement — Avoid, Argue, Shut Down, or Other? *

If Other:

What is one relationship (work, family, marriage, or community) where you’d most like to improve how you disagree? *

If you could improve the way you handle disagreement, what would success look like for you 12 weeks from now? *

How would stronger communication and conflict resolution impact your life, relationships, or work? *

Are you willing to commit to weekly 60-minute sessions over the next 12 weeks? *

Yes

Which payment option works better for you? *

$2,500 one-time

$1,000 monthly for 3 months ($3,000 total)

On a scale of 1 – 10, how committed are you to improving how you handle conflict and disagreement? *

Is there anything else you’d like me to know about your situation before we connect? *