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Welcome!
Thank you for your interest in wanting to work with me. Please fill out and submit this form to submit a request for a consultation session regarding what service(s) may best fit your particular needs.
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1
Name
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First Name
Last Name
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2
Email
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example@example.com
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3
What is your location (city, state, country) and time zone?
This will help with scheduling.
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4
What type of service are you looking for?
*
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SheRises: Amplify & Thrive 6 Figure Coaching Programs
Mindshift Coaching Programs
Not sure yet, I need more help.
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Please Select
SheRises: Amplify & Thrive 6 Figure Coaching Programs
Mindshift Coaching Programs
Not sure yet, I need more help.
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5
Please share any information that you think would be helpful for your Alignment Call (e.g., current issues, patterns, stressors, etc.).
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This helps me to better understand your unique needs to find the best solution-service for you!
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6
Kindly provide 3-4 dates and times that you are available for an appointment. I will make every effort to accommodate one of your preferred options.
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7
How did you find/ hear about Transformative Healing?
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Friend (please provide their name below so I can thank them)
Internet
Facebook
Instagram
Summit/ Conference (please provide the name of the summit/ conference below)
Other (please specify below)
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Please Select
Friend (please provide their name below so I can thank them)
Internet
Facebook
Instagram
Summit/ Conference (please provide the name of the summit/ conference below)
Other (please specify below)
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8
Please provide the name of the person, summit/ conference, or other way of discovering Transformative Healing.
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9
Are you willing & able to invest in yourself, if it would dramatically start to improve your life and/or help you to overcome a major challenge?
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Yes! Let's do this!
Not sure, but I know I need to start making changes and would like more information.
No, I am not ready.
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Please Select
Yes! Let's do this!
Not sure, but I know I need to start making changes and would like more information.
No, I am not ready.
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10
Your Alignment Call with Kelly will be held via Zoom (camera on/off optional). You must be ready for the call. To make the most of our call together, please do not drive in the car, be in a noisy place, etc. to help minimize distractions. Will you be ready in an environment with minimal to no distractions?
*
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Please note that if you are more than 5 minutes late to your scheduled appointment, your session will be cancelled, and you will need to put in another request.
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Yes, I understand and will be ready for the call!
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Please Select
Yes, I understand and will be ready for the call!
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11
This is a consultation call to discover what service(s) best fit your needs. It is not a free session.
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Yes, I understand this is a free consultation and not a paid session. I understand that we will only be discussing what services best fit my needs.
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Please Select
Yes, I understand this is a free consultation and not a paid session. I understand that we will only be discussing what services best fit my needs.
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