All questions with an * require an answer.
Please provide two dates and times that you'd be available to speak within the next month. *
Please describe some of the issues, themes or questions you'd like to discuss when we speak. *
Have you ever worked with another life coach or counselor, or attended any personal development or spiritual workshops or programs? If so, please describe. *
What gives you joy? *
What scares you? *
It is okay to contact me via (select all that apply. Mac: Command-click. Windows: Control-click.): **Though phone number is mandatory for screening purposes, I will only contact you via approved methods!** Phone callVoicemailTextEmail
Your full name *
Your zip code *
Your phone number *
Your email *