Name
*
First Name
Last Name
E-mail
*
example@example.com
How long would you like to work together for?
3 months
12 months
Please give a short intro to yourself and your work
*
What’s feeling most challenging for you right now in your creative life?
*
What would you love to shift or experience over our time working together?
On a scale of 1–10, how committed are you to showing up fully for these sessions?
Not very
1
2
3
4
5
6
7
8
9
So ready!
10
1 is Not very, 10 is So ready!
Anything else you’d like me to know?
Please verify that you are human
*
Submit
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