Coaching Inquiry / Application with Lo Myrick

If you're interested in Life Coaching or Balance Session with me, please complete the application below!


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Name (first and last) *
Email *
In a few sentences, please describe your biggest frustrations right now / why you're inquiring about Coaching: *
In general, how satisfied are you with your job? *
I hate it
I love it!
In general, how do you feel about your love life? *
Miserable
Totally in love
What's your relationship with your body / body image? *
Disgusted
I love every inch
In general, what's your excitement level about life right now? *
WTF
Living my dream
If you found a magic lamp with a genie in it, what is 1 wish you would make? *
Have you previously done any therapy, coaching, personal development, energy work, etc.? If yes, what have you tried?  (no judgement or requirements here, just curious what you are familiar with!) *
Is there anything else I should be aware of or you'd like me to know?
Complete the following sentence... Right now, I :
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By submitting this form I agree to allow Lo Myrick to contact me by email and I opt-in to newsletters & marketing communications. *
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