Name
*
First Name
Last Name
Email (one that you use and check)
*
example@example.com
Instagram handle or LinkedIn (this isn’t obligatory, it just gives me an extra method of contacting you at this stage)
Age
*
Where are you based? And if Ireland what County?
*
What do you do for work?
*
How did you hear about me?
*
Can you tell me a bit about yourself and your life?
What do you most want help with right now?
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What is the goal or outcome you’re looking for? (This doesn’t have to be a tangible goal, it might simply be a difference in how you want to feel. There are no right or wrong answers)
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Have you worked on this problem in the past and if so in what context? Why do you feel it didn’t work for you?
Why is working with someone on this a priority for you right now?
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How much are you willing to invest to solve this problem and get the result you want?
*
Would this more intensive / integrated approach over a shorter period suit you?
*
Is there anything else you want to share or would like me to know at this point?
Submit
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