Your Initiation Starts Now

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As you discover who you are underneath all the ways you’ve experienced life, you’ll see that there is nowhere else to go. Liberation from your painful patterns begins by accepting everything you are.

You will be contacted within 72hrs of completing the form for the next steps.

Email *

Full Name *

What is your best number to contact you with? *

Age/Height/Weight *

Gender *

Make

Female

Other:

Have you read my book or taken any of my courses? If so, tell me how you found me? If not, why are you here right now? *

Where do you feel stuck the most in life right now? Be as specific as possible, leave no detail untouched. *

What attracts you towards coaching now, and why do you think I can help you? *

If you could drop all your worries, struggles and fear, what would your life look like in 6 months if there were no limits? *

Are you in an intimate relationship? *

Yes

It's complicated

Required

Are you personally satisfied with your career? *

Yes

I would like to figure out how to do something I am passionate about

What are your interest/hobbies outside of work? *

Are you physically active in your life at least 3x/week *

Yes

I'm active, but not consistently

Have you ever hired a coach? *

Yes

If so what did you like about it? What did you not like?

What is your biggest fear in life?

How stressful would you consider your life on a daily basis? *

Master Zen

Stressed To The Max

How Many Hours Of Sleep Do You Get Per Night? *

Do you practice mindfulness in your life? *

Meditation

Journaling

Breathwork

All Of The Above

How Often Do You Step Outside Your Comfort Zone? *

I'm A Softy

Adrenaline Junky

How willing are you (10 being very willing) and able to financially invest in your personal growth and your future to achieve and embody the goals you have laid out today?This question is required. * *

Not willing

I'm all in

There are other ways to work with me aside from 1-1, are you interested in other programs I run? *

Yes

Required

I limit the number of 1-on-1 clients I can work with. My 1 on 1 coaching program begins at a minimum of $5K for a 3 month container. Are you willing and able to make a commitment such as this to transform your life? If so, please let me know if you are interested in a 90-day or 180 day commitment. *

Yes

Send me a copy of my responses.

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