Holistic Success & Heal Your Life Coaching
All information will be kept strictly confidential. Please be aware that the more you can tell me about yourself, the more I may be of assistance to you. Feel free to go into detail about any issue you wish me to know about you, or to help you with. Please note that all sessions are prepaid at a rate of $333 per hour. Thank you!
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First Name *
Last Name *
Email *
Phone Number
Age *
Where are you located? City, State, Country *
Current Occupation *
Do you enjoy your work? *
Have you ever worked with a coach before? *
How did you find me? Instagram, FB, Google, Referral, etc *
Briefly describe why you are interested in having life coaching. What goals would you like me to help you achieve? *
The investment for a 60-Minute Zoom Session is $333. All sessions are prepaid. You may make your payment at https://www.paypal.com/paypalme/hackerette/333  Have you completed your payment? *
What else would you like me to know about you? *
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