Freedom For The Taking Application Form

1

What name do you prefer to be called? blanks

2

How many years have you been alive?

3

What area of your life are you seeking freedom in?

4

What is holding you back?

5

Are you currently in therapy or have you been in therapy in the past?

6

What is your biggest challenge at the moment?

7

What are you looking for most in a coach?

8

What is your phone number? (for your free 15-minute consultation) Consultations for USA clients are usually done via phone. Clients in other countries will have a Zoom consult.