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Last Name *

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What is your current job?

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Please explain:

What obstacles are you currently facing and keeping you from the life you desire? How is it impacting your life? *

(Please share your story in as much detail you are comfortable with below.)

Think about the next 6 months of your life and if nothing changes what will life look and feel like? *

How do you think you are getting in your own way or self sabotaging? *

What would you like to feel as a result of working together? *

What have you done in the past if anything have you tried to improve yourself? (Coaching, therapy, spirituality, fitness, courses or something else) Has anything proven effective? *

How ready are you to invest your time in this transformation? *

Why did you answer # ? *

How ready are you to invest financially to create this transformation for yourself? *

I offer 1:1 Coaching at a higher investment due to my high level of support and access to me directly I also offer semi-annual online group programs.

Why did you answer # ? *

When would you like to start working together? *

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