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Allow Me To Learn More About YOU!

Not sure where to begin? Please fill out this form and I will guide you! Once completed, I will reach out to you within 48 hours! Thank you.

 

 

Start

Question 1 of 15

First Name: 

 

Question 2 of 15

Last Name:

Question 3 of 15

Email:

Question 4 of 15

What is your phone number to contact you with? Best time to call?

Question 5 of 15

From the items below, what would you like to focus on during your time with me?

(Select all that apply)
A

Creating Clarity In Your Life

B

Communication Skills/ Speaking Your Truth

C

Emotional Intelligence- Understand Your Emotions/ Process Emotions

D

Healthy Boundaries

E

Leadership Skills/ Recruit Team Members/ Team Development

F

Money Management/ Money Mindset

G

Next Career Steps/ Career Change

H

Professionalism/ Work Ethics

I

Retirement/ Exit Strategy

J

Self Care Strategies

K

Self Confidence

L

Social Media Skills

M

Strengthen Relationships (friends, family, partners, business partners)

N

Time Management (Work/Life Harmony)

O

Human Design- Tell Me More!

P

All-Inclusive Women's Retreat- Tell Me More!

Q

Reiki Healing Session- Tell Me More!

R

Silvers Healing Session- Tell Me More!

Question 6 of 15

Please share any other topics you would like to address during our coaching sessions and any details you would like for me to know. 

Question 7 of 15

What do you currently feel are your greatest strengths in your life? in your business?

Question 8 of 15

What do you currently feel are your greatest challenges in your life? in your business?

Question 9 of 15

If you could wave your magic wand, what would success look like from your coaching with me?

Question 10 of 15

What is your full birthdate? MM/ DD/ YR

(We will use this to teach you about your Human Design!)

Question 11 of 15

Where were you born? EXACT time you were born? (please include AM or PM)

County, City, State:

Time:

(We will use this to teach you about your Human Design!)

Question 12 of 15

Do you have a "coaching budget" you are willing to invest in yourself to get the results you desire?

A

$100-$200 per month

B

$200-$400 per month

C

$400-$600 per month

D

$600-$800 per month

E

$800 + per month

F

No, I haven't thought about it.

Question 13 of 15

Do you have any questions for me?

Question 14 of 15

Who can I thank for referring you to me?

Question 15 of 15

Are you interested in learning more about attending an upcoming Women's Retreat in Sedona, Arizona? If yes, we will send you information!

Confirm and Submit