Micaela's 1:1 Coaching Waitlist

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Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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DOB (mm/dd/yyyy):
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I'm interested in...Check all that apply
Life Coaching
Hypnotherapy
Branding & Business Mentorship
1:1 Mentorship Program (includes all of the above)
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Preferred Pronouns* This field is required.
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Tell me a little bit about you and what's leading you to seek out support:* This field is required.
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Ok
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Have you ever worked with a therapist, coach, or hypnotherapist?* This field is required.If so, please describe your experience
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What changes are you looking to make in your life?* This field is required.Include personal growth, relationships, business/career, health, etc.
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What do you currently do for work?* This field is required.
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Why do you feel Micaela would be a good fit to help you?* This field is required.
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InvestmentSelect one that best describes you:
This is my #1 priority and I am ready to invest & commit to a coaching program
This is my #1 priority but I'm struggling financially and am interested in payment plans
I am interested in learning more about coaching opportunities but am not ready to invest
Should be Empty: