Appplication Form | Walking Session Podcast

Thank you for your interest in working with me. My approach combines psychology, performance principles, and individualised strategies to help high performers, athletes, and active individuals achieve clarity, focus, and sustainable mental wellbeing.

This application helps ensure our sessions are the right fit and that I can provide the most value to your goals.

First name

Last name

Email

Phone

Intake Cycle

January 2026

April 2026

August 2026

1. Your Goals and Interests (Please tick all that apply)

I’m involved in sport, exercise, or performance (professional, amateur, or recreational)

I want to improve focus, motivation, or performance under pressure

I’d like to strengthen resilience, confidence, or mental toughness

I want practical tools that help me manage stress, burnout, or overwhelm

I value a proactive, action-focused approach to mental health and performance

I’m open to incorporating movement, exercise, or walking during therapy

Other

2. Your Current Focus Areas (It’s completely okay if you have specific mental health concerns — these can be addressed alongside performance-focused goals.)

3. Your Approach to Therapy

I prefer sessions that are practical, evidence-based, and action-oriented

I value honest reflection, accountability, and goal-setting

I’m comfortable applying strategies between sessions, such as walking, journaling, or mindset exercises

I want a structured program with weekly/fortnightly sessions and measurable progress

I’m comfortable with a telehealth-based program

Please provide brief answers (2–3 sentences each) 1. What drew you to this approach?

2. What are you hoping to achieve in these sessions?

3. How do you currently incorporate movement or physical activity into your life?

4. Acknowledgement & Commitments (Please read carefully and tick to confirm your understanding)

I understand that this program requires commitment to 6 sessions (weekly or fortnightly) within a 10-week period.

I agree to attend my scheduled sessions consistently and on time, understanding that progress depends on regular participation.

I acknowledge that the program is telehealth-based.

I understand that this is a structured, action-oriented program that blends performance, mindset, and clinical psychology principles.

I understand that full session fees apply regardless of funding method (Medicare, Private Health, or self-funded).

I agree to pay my session fees on time and understand any out-of-pocket costs are my responsibility.

I acknowledge that not all applications are accepted, and that acceptance is based on alignment with the program and readiness to engage fully.

Application Form