Holistic Life Coaching with Katie Intake Form
Please fill out the form as honestly (no judgements here!) and as detailed as you can so that I can give you the absolute MOST value for your time.  Once I receive your form, I will send you the link to book your free holistic coaching session. 

I'm really looking forward to supporting you on your journey towards more energy and feeling your best self!

Talk soon!

Katie Barlow
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Email *
Phone Number *
Full Name *
Where do you currently live? *
Gender *
Age *
Marital status and children ages (if any)? *
Occupation *
Current Height and Weight *
What is the main concern or struggle that you would like to talk about in our breakthrough session together? *
What have you done in the past or are currently doing to overcome this concern or struggle? *
What has proven effective? *
What would you ideally like to be experiencing instead of this concern or struggle? *
What is stopping  you or getting in the way of you overcoming this concern or struggle? *
What are you hoping to get out of our time together? *
What are 5 things you LOVE about your life? *
Thank you for submitting your answers. Please note that by submitting this form you are releasing Katie Barlow Services from any liability. I am not a doctor and will not be giving medical advice. You are in charge of your own health and it is your responsibility to seek medical attention if needed. My role is to provide accountability and support and a system to help make achieving your goals easier and more realistic.
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