Kickass Teacher Consultation
Thank you for your interest in working together. All client information is confidential and treated appropriately. I will notify you if your application is approved as soon as possible.
Only fields with an asterisk * are required. All others are helpful but not absolutely necessary.
Do you want to receive inspiration, updates, and gifts via email?
Yes, Keep me in the loop!
No thanks, I’m good!
Best Contact Number:
Preferred method of contact for your sessions
In Person (Vashon Only)
What is your main reason for seeking support?
What are your biggest challenges when it comes to this issue?
Have you gotten support for this before? What was your experience?
Are you ready to invest not only money but time, energy and heart into resolving this?
What do you hope to get from our time together?
Do you feel like you are coachable?
When working with someone to get results, who is responsible for those results?
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm