Before we begin…
This form isn’t about proving anything — it’s an invitation to reflect. My 1:1 work is intimate, spacious, and designed to support your whole self. These questions help us both discern whether we’re a strong fit for the journey ahead.

First Name *

Last Name *

Phone *

Email *

Time Zone *

How did you hear about me? *

Where You Are Now

What's currently bringing you to seek coaching? *

What's one thing you’re struggling to move through on your own? *

On a scale of 1–10, how connected do you currently feel to your own truth, desires, or inner wisdom? *

What You Want

What would feel like a meaningful outcome from working together? *

How do you want to feel on the other side of our time together? *

If nothing changes in the next 6 months, how will that impact you? *

Readiness & Commitment

What have you already tried (if anything) to support yourself in this season? *

What makes you feel ready for this kind of deep, whole-person coaching now? *

Are you willing and able to invest time, energy, and resources into yourself at this level right now? *

Yes

I'm not sure yet

We'll discuss all of this on a clarity call. This helps me get a sense of where you are.

Your Alignment With This Work

My coaching work centers around helping women reclaim clarity, reconnect with joy, and lead from within. What part of that speaks to you? *

Is there anything you’d want me to know about you, your journey, or your hopes before we talk?

Next Steps

If it feels aligned to move forward after reviewing your responses, are you open to scheduling a 30-minute clarity call to explore what working together might look like? *

Yes

I'd like more information first