Lifestyle Coaching
Please fill out the questions below to see if it may be a fit for me to support you on your journey.
Name
*
First Name
Last Name
Instagram Name
IG: @example
Location
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Age
*
Have you had a life coach before?
*
Please Select
Yes
No
If yes, how long and what made you stop?
What is the vision for your life?
*
What is the biggest obstacle currently holding you back from fulfilling this vision?
*
What are you wanting support with?
*
What are you currently doing for a living?
*
What are you currently engaged in that supports your health mentally, spiritually, emotionally and physically?
Type NA if you do not have an answer
If you haven't started with anything yet, what areas would you like to work on?
What called you to work with me?
*
What time block do you have available for us working together?
*
What is your monthly budget for working together?
*
Under $500
$500 - $1,000
$1,000 - $2,000
$2,000 - $5,000
Anything else you would like me to know?
Type NA if you do not have an answer
Upon completion, please allow at least 72 hours for review and you will receive a response shortly after with schedule information on how to book a zoom call so we can discuss further. Be well!
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