Services Inquiry
Name
First Name
Last Name
Email
example@example.com
What pronouns would you like me to use for you?
Why are you interested in receiving coaching/consulting services?
What do you consider your most URGENT related issue and why?
How long has this been an issue for?
What is your desired resolution to this issue? (Please be realistic, but think big.)
What are the main things holding you back from reaching this resolution on your own?
Have you worked with a personal coach (of any kind) before?
Never
Once or twice
I’ve worked with tons of ‘em!
Other
Which style of package are you interested in? (Select all that apply)
One-off sessions as the need arises.
Short term, ongoing coaching (6 months or less)
Long term, ongoing coaching (more than 6 months)
Strictly text-based support
Additional support with a particular project (for ex, reading drafts of your novel and providing targeted feedback)
Submit
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