I understand that all information I entered in this form will be considered strictly confidential.
The data gathered from this form will only be used as a basis for deepening the focus towards achievement of your goal for a specific area of your life.
I understand that in order for the session to be successful to give me action steps to take in achieving my goal, it is important to be honest and detailed on this form.
I understand this session is obligation free, complimentary and 30 minutes long. We will not be discussing working together during this call.
If we both feel excited by the idea of moving forward together, then we will schedule a separate call to discuss working together.
After completing this form, please go to my calendar to book your Complimentary Action Call by scheduling it below with my online services calendar at