Getting to Know You
This form is designed to help me understand you a little better.
Rest assured, all information shared will be kept private and confidential.
Once you submit the form, you’ll receive an email from me within 24 hours or the next business day with details on the next steps. Most likely, we'll be booking a zoom call to chat further.
👂 How/ where did you hear about me?
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🎯 What are your overall goals or intentions?
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💬 Please tell me a little about yourself.
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😞 Where are you feeling stuck or challenged?
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😇 Have you worked with a coach before to achieve these goals or different goals?{"type":"textarea","name":"__generic6","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":"If so, please tell me more...what were your goals, what worked and what didn't."}
🎯 What helps you to be focused, present, or grounded?
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🌈 What are 3-5 things you LOVE about your life?
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🎧 Is there a book or podcast that you recently read or listened to that left a lasting impression on you?
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🩺 Do you have any underlying health conditions or mental health challenges?*
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⭐ Anything else you would like to share?
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📍 How would you prefer our coaching sessions?*
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🗓 Investment Details for Private CoachingHere’s an overview of my private coaching options so you can feel fully informed before we connect:
6-Week Program: $1,500
(equivalent to $250/week)
3-Month Program: $3,000
(or $2,750 if paid upfront)
6-Month Program: $6,000
(or $5,500 if paid upfront)
Flexible payment options available
What You’ll Receive:
• Weekly 1:1 Sessions
• Access to your Client Portal (new!)
• Daily Accountability + Support
• A Personalized, Tailored Program
• Sustainable Action Steps
• Clarity + Confidence
• Tools for Growth
• All sprinkled with PMA (Positive Mental Attitude!)
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🛎 I have a monthly email you can sign up for below and a lot of info on
my website.{"type":"checkbox","name":"__generic19","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please check at least one item.","options":"Check this box to be added to my email list."}
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