your journey begins here

Before we schedule your free 20 minute soul session, please take a moment to fill out this form below. Grab a cup of tea & enjoy the process. Thank you!

Name

First Name

Last Name

Phone

(###)

###

####

How did you hear about me?

Have you experienced coaching in the past? What was helpful for you?

Are you currently working with a therapist or any other coach?

What is one problem or issue that you hope I can help you solve?

What is one area of your life that you feel a high level of satisfaction in?

What is one area that you feel disconnected from or need support with?

Are there any issues, challenges or ‘sticky spots’ that you feel you have been working with for a good portion of your life?

What or WHO helps you most when you feel anxious, stressed or afraid?

Are you currently dealing with any serious mental health issues or taking medication for any mental health issues?

List your top 3 goals for working together or things you’d love to work on.

Is there anything else you'd like to tell me about yourself?

your journey begins here

join the list