Take your time while filling out this form - the more honest you can be, the better results you will get.
(start by clicking that beautiful button below.)
Let's begin!
Why are you interested in working with me?

What would you *love* to get out of working together?

If someone referred them, please enter their name below. I'd love to thank them!
Have you worked with a coach before?

Your First & Last Name

Your Email

How old are you?

What kind of life are you most inspired to create?

What makes you a good fit for this program?

What's missing from your life and how do you keep it out?

What changes are you committed to achieving in the next 6-12 months?

Are you willing to do whatever it takes to create the life that you envision? (Please explain)

If you were accepted to work with me, what would stop you from joining

Anything else you would like me to know about you?

Where do you live? Please name the country and time zone.

Phone Number And Skype Name? (So I can touch base with you.)

On a scale of 1-10, how committed are you to overcoming your challenges and experiencing your bigger vision?

CONGRATS! You've taken the first step towards living uncomfortably. If It seems like we're a good fit, I'll reach out to set up a powerful middle seat experience (90 minute discovery conversation) that will take a deep dive into where your life is and how we can co-create your desired future. 

Talk Soon Soul Sibling.
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Nice, Soul-Sibling! You took the BRAVE first step. I'll be in touch!
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