Thank you for your interest in coaching with me. Please complete the interest form below to allow me to learn a little bit about you! 
Full Name *
Email *
Where are you located? (List your state if you're in the U.S., or country if outside the U.S.) *
Tell me a little about you and what you're struggling with. *
What areas would you like support in through coaching with me? (mark all that apply) *
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If you checked "other" above, please explain here:
My coaching sessions are $130 (USD) per 60-minute session (discounted when purchased in a package). Assuming we're a good fit, is that doable for you? 
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Are there any specific questions you have about coaching with me?
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Anything else you'd like me to know about you or what you're looking for?
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