Intake Form

1

What is your full name?* This field is required.

First Name

Last Name

2

What is your email?* This field is required.

example@example.com

3

What is the name of your company?* This field is required.

e.g. ACME Corporation

4

How did you hear about me?* This field is required.

Instagram

TikTok

Referral

Other

5

Drop a link to your website or socials (Instagram, LinkedIn, etc.)* This field is required.So I can get a sense of what you’re building. Promise I’m only a friendly kind of stalker. :)

6

How long have you been in business?* This field is required.Just gives me a quick sense of where you’re at in the journey.

Less than a year

1-3 years

3-5 years

5+ years

7

Working together starts at a minimum investment of $2,000 for Founder’s Map or $3,500 monthly for a Strategic Build. Is that aligned with where you're at right now?* This field is required.

Yes, that works for me!Not right now.

8

Assuming we're in total alignment, what would be your ideal start date?* This field is required.I open a certain number of slots per quarter, so this helps me see if our timelines line up.

ASAP - I'm ready to go now!

Within the next 30 days

In 30-60 days

2-3 months from now

Just exploring for now

9

Almost there! I want to make the most of our time together, so here’s a big one: In 2–3 sentences, tell me one major pain point in your business you’d want to eliminate right now.* This field is required.This helps me come into our call already thinking about how to support you.

10

Anything else you'd like me to know before we chat?

11

Go ahead and grab a spot on the calendar to book your call.We’ll explore what you’re building, what’s getting in the way, and how I might be able to support you. Once you book, you’ll receive a confirmation email and a calendar invite. Once you book, you’ll get a calendar invite and confirmation email.