check

Regain Your Core® Coaching Application

Thank you for your interest in the Regain Your Core® Coaching Program

This application helps determine whether this coaching experience is aligned with what you’re seeking now.

Some questions ask about your mental health history and current support. These questions are included to help clarify whether this coaching space is a supportive fit, or whether a different level of support may be more appropriate for you at this time.

Please answer each question honestly. Your privacy is respected, and the information you share will be handled with care and confidentiality.

If additional clarification is helpful, Dr. Novia will contact you using the information provided.

Session Availability: Coaching sessions are held weekly on Tuesdays or Wednesdays between 11 AM & 2 PM EST.

Before applying, please make sure this time window works for your schedule. If you are invited into the program and choose to enroll, your assigned session day and time will be emailed to you before the program begins.

Applications for the Regain Your Core® Coaching Program are open and will close on Friday, July 24, 2026. You’ll receive a response by Tuesday, July 28, 2026. The program begins on Tuesday, August 4, 2026. If you’re invited to enroll, details will be in your email.

Click the button below to start.

Start

Question 1 of 15

Full Name

Question 2 of 15

Email Address

Question 3 of 15

Best Telephone Number

Question 4 of 15

Which Regain Your Core® program are you applying for?

A

Group Coaching

B

One-to-One Coaching

Question 5 of 15

Tell me about where you are right now.
In your own words, what feels most important to you in this season of your life, and where do you want to feel more aligned with who you really are?

Question 6 of 15

If we were 4 months into the future and Regain Your Core® had been deeply successful for you, what difference would you notice?
Consider your sense of self, your relationships, and your day-to-day life.

Question 7 of 15

How do you know you can create the change you desire for yourself?

Question 8 of 15

What has been helpful for you in the past to support your personal growth journey?
(For example: therapy, coaching, books, courses, retreats, etc.)

Question 9 of 15

Are you currently working with a psychiatrist, therapist, or counselor for any mental health concerns?

A

Yes

B

No

Question 10 of 15

Have you ever been diagnosed with a mental health condition (for example, anxiety, depression, PTSD, bipolar disorder, or another condition)? If yes, please share when.

Question 11 of 15

Have you ever had thoughts of self-harm or suicide, engaged in self-harm, or attempted suicide? If yes, briefly share when this occurred. 

Question 12 of 15

The coaching program is focused on personal growth. It is not therapy, mental health treatment, or crisis support, and is not intended to replace therapy or medical care. Based on this, which statement is true for you right now?

A

I understand, and this feels like the right kind of support for me

B

I’m not sure if this is the right level of support for me

C

I’m currently needing a higher level of support (therapy, psychiatry, or crisis care)

Question 13 of 15

Are you able to show up each week and fully engage and participate for the duration of the program? 

A

Yes

B

No

C

I’m not sure

Question 14 of 15

If you are invited into this coaching program, are you prepared to make the full investment at this time? You can view the full investment on the Regain Your Core® page (including when you choose "Click here to learn more" for 1:1 coaching).

A

Yes, I’m ready to make the full investment

B

Possibly, I’d need to consider my finances and the resources I can access

C

No, I’m not in a position to make this investment right now

Question 15 of 15

Is there anything else you’d like to share or you think would be helpful to know?

Confirm and Submit