Molt Free Consultation Interest Form

Complete the form below to book a free consultation with Will and take the first step on your recovery journey. Whether you pursue 1:1 coaching with Will or not, having a consultation makes you eligible for FREE access to the Molt Community.

First name

Last name

Email

Phone

State or Country of Residence

What is your relationship status?

Single or casually dating

Long-term partnership

Married

Divorced or separated

Does your partner know about your struggles with porn?

Yes

No

Somewhat, doesn't know the full severity

N/A, I'm single

Briefly describe your struggles with porn and compulsive sexual behaviors. At what age did problems begin and how long have you been struggling?

Have you tried other recovery options before? If so, what have you tried and what were the outcomes?

What are your goals for working with Molt? What do you want to gain and how do you want to change?

How did you find Molt?

As part of your recovery, are you prepared to make positive changes in multiple areas of your life such as diet, exercise, social networks, screen use, daily habits, etc.?

Yes

No way

Depends

Molt offers multiple recovery paths, the lowest of which starts at around $200/month. Are you able to invest at least that much in your recovery?

Yes

No

I understand that Will is not a licensed therapist and Molt programs are not therapy, but that Will is a knowledgeable recovery coach who helps clients stop using porn and make positive changes in their lives through private coaching programs.

Yes

Schedule a free consultation

May - Jun 2026

Week starting Sunday, May 31

Time zone: Coordinated Universal Time (UTC)Phone call

Wednesday, Jun 3

10:00 AM - 11:00 AM

11:00 AM - 12:00 PM

12:00 PM - 1:00 PM

1:00 PM - 2:00 PM

Want to learn more or ready to get started?

Molt Free Consultation Interest Form

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