Thank you for your interest in my work! 
I'd love to know more about you, so that our time on the call is used most effectively.
How would you rate the quality of your life in the following areas: 

Emotions *

Body *

Relationships *

Sexuality *

Work *

Money *

Spirituality *

What do you most want to shift in your life today? *

What would you say is your biggest challenge around this? *

What has been the biggest block that has kept you from resolving this issue already? *

What is the cost to you if you do not shift this situation? *

What other areas of your life do you want to transform (if any)? *

How ready are you to step into your power and invite change into your life? *

How excited would you be for me to be by your side on this journey? *

What are your spiritual practices, if any? *

How did you hear about and what made you reach out to me? *

What else do you want me to know about you?

Full Name: *

Primary Email Address: *

Telephone Number:

Skype ID:

Skype ID (please re-enter):

Time Zone:

Thank you for taking the time to answer this questionnaire!  

I will review it and contact you back to schedule your Discovery Call, if it's a fit.

Powered by Typeform
Powered by Typeform