Application to Work With Me for Christian Life Coaching and Consulting Services
If you are interested in working with me, please fill out the form. Please note that all services are an out of pocket expense and all services are virtual. 

*We do not accept insurances at all.  If you are seeking a Therapist and would like to use insurance, consider visiting the Faith and Mental Wellness Directory. 

We will contact you within 3-5 business days after completion of this form to let you know whether you are a great fit to work with Ms. Torres. Mrs. Torres provides Christian Counseling and Consulting Services. To learn more about her visit here: https://www.shakeetatorres.com/

*
Email *
Name *
First and last name
Email *
Phone number *
What are you struggling with right now?  Please be as detailed as possible. *
What would you say some of your goals are while working together? *
How did you hear about me and my services? *
Are you ready to invest in services.  Pricing starts at $200 for a 75-80 minute session. *This is an out of pocket expense and is not billable to any insurances.  *
What state do you live in? *
When would you like to start services?   *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of R&S Coaching & Consulting Llc.. Report Abuse
Google Forms