1:1 Coaching Enquiry

1
What is your name?
First Name
Last Name
2
What's your email?(please double check that this is correct)
example@example.com
3
Phone Number
Area Code
Phone Number
4
Location/Timezone
5
Whats your Instagram Handle?
6
What are the three biggest challenges or struggles you’re currently facing?(Help me understand what feels heavy or stuck in your life right now)
Huge
Large
Normal
Small
Ok
Ok
7
What specific results or changes are you hoping to see in the next few months?(mindset, energy, boundaries, standards, routines etc)
8
On a scale of 1–10, how ready are you to take action and invest in yourself right now?
9
How long are you looking to be supported for(All options are 1:1 coaching)
Please Select
Please Select
6 weeks
3 months
6 months
not sure
10
Are you financially able to invest in coaching at this time?
Please Select
Please Select
Yes — I’ll pay in full!
Yes — I’ll pay in a payment plan!
11
How did you hear about my coaching services?
Should be Empty: