Work with me!

Work with me!

Few questions before we set an exploratory call to see if we're both a fit for one another
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date

MonthDayYear
Gender

FemaleMaleNon-BinaryChoose not select
Age
What do you do for a living?
Have you worked with a coach before?
What is your biggest challenge right now? And what are you doing to overcome it?
What is the one thing in life you've always wanted to do, but fear holds you back?
Anything else you want to share with Taiya!
Should be Empty: