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New Client Intake From ~ Allow Me To Learn More About YOU!

Thank you for your interest in working together.

Please take a few moments to complete this intake form so I can gain a deeper understanding of where you are now and what you’re desiring to create through our connection.

Once your form is submitted, I’ll reach out within 24 hours to schedule your complimentary 20-minute one-on-one Discovery Call, where we’ll officially meet, explore your intentions, and see if working together feels aligned.

I’m looking forward to connecting with you.

Warmly,
Tammy Feltner

 
 

 

 

Start

Question 1 of 12

First and Last Name: 

 

Question 2 of 12

Email:

Question 3 of 12

What is your phone number to contact you? Best time to text and/or call?

Question 4 of 12

From the items below, where are you feeling most called to receive guidance?

(Select all that apply)
A

Create Clarity In My Life and/or Business

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 / Self Love

K

Self Confidence

L

Social Media Skills

M

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

N

Time Management (Work/Life Harmony)

O

Human Design- Tell Me More!

P

Attend the All-Inclusive Sedona Women's Retreat- Tell Me More!

Q

Plan an All-Inclusive Retreat for my friends, family, or workplace.

R

Reiki Healing Session- Tell Me More!

S

Silvers Healing Session- Tell Me More!

T

Other

Question 5 of 12

Please share any other topics you would like to address during our coaching sessions and any details you would like for me to know. (All information will remain confidential)

Question 6 of 12

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

Question 7 of 12

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

Question 8 of 12

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

Question 9 of 12

Do you have any questions for me?

Question 10 of 12

Who can I thank for referring you to me?

Question 11 of 12

Please note:

~1:1 coaching containers range from  $413 per month - $1599 a month.

 

~Group coaching containers range depending on length of coaching program being offered. 

 

~My All-Inclusive Sedona Women's Retreats range from $2300-$3500 per retreat.

 

~All-Inclusive Women's Weekend range from $2800-$4500 per weekend.

 

Are you ready to make this investment in yourself?

(Please note, budget friendly payment options are available.)

A

Yes, with a payment plan.

B

Yes, I am prepared to pay in full.

C

Yes, help me create a budget.

D

I'm not sure. Let's discuss my budget.

Question 12 of 12

By completing this form, you’re giving permission for me to reach out to schedule your Discovery Call. Please click “Yes” to confirm your consent.

 

(Once you confirm, I will reach out to you to set up our call within 24 hours.)

A

Yes.

Confirm and Submit