What are your biggest struggles or challenges you are currently facing your life situation, personally and/or professionally that you know you want to work on? *
Your answer
What are 1-3 things that you are currently working on or have worked on in the past? *
Your answer
What are the three things you most want from our work together? *
Your answer
Do you have any previous experience with therapy, personal development, coaching, meditation, etc? If so, tell me a little about those experiences. What did you learn about yourself? What were your biggest insights? *
Your answer
On a scale of 1-10 how ready are you to commit to yourself, your growth and your life and show-up fully to coaching? *
Not ready at all
More than ready
Health History
Have you ever been diagnosed or treated for a serious psychological or mental health issue? *