Intuitive Coaching with Natasha Charles: Intake Form

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Thank you for your interest. Please complete and submit the form below. Upon receipt I connect with you via email to create an intake session (approximately 2 hours in length). I look forward to our time together!

Email *

First Name *

Last Name *

Best Contact Phone Number (numbers only please, no dashes or parentheses) *

Briefly state your issue (what has brought you here today?) *

What outcome would you like to create and why? *

What do you think / believe is stopping you? *

What have you done already to solve your issue? *

What outcome would you like to achieve during our time together? *

Are you prepared to make a time commitment and a financial investment for coaching services? *

I am prepared to make a time commitment

I am prepared to make a financial commitment

I am prepared to make both a time commitment and a financial investment for coaching services.

I am prepared to make neither a time commitment or a financial investment for coaching services.

Is there anything else you would like to share?

Send me a copy of my responses.

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