Name

First Name

Last Name

Phone

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What type of coaching would you like to receive? (Ex. life coaching, grief coaching)

What do you desire to create while working with me?

What is in the way of what you want?

I primarily work with people for 9-12 months. What do you envision for your life 9-12 months from now?

My belief: Money is a resource. Prosperity is a state of being. What is your relationship with money?

What reservations do you have about hiring a coach?

Coaching is an artful and intimate process. I value each client relationship. What would make this experience rewarding for you?

Is there anything else you want to share with me?

Schedule an Appointment