Page 1 of 1
Work With Me
What’s your name?
*
In as much detail as possible, what are you wanting to work on?
*
What service are you interested in? (If unsure, leave blank)
What service are you interested in? (If unsure, leave blank)
1:1 Mentorship
Aligned Athlete Program
MindShift Program
Bespoke Sessions
I Am Project Community
Workshops, Seminars and Training Camps
Have you done therapy or mindset coaching before?
Have you done therapy or mindset coaching before?
A
Yes
B
No
If yes, how was your experience? What did you like / worked well? What didn’t you like?
What kind of results are you hoping to get from the counselling/coaching?
Why is this important to you?
Are you currently diagnosed with any physical or mental health conditions? If so, please describe these below.
Do you have any questions for me?
What’s your best contact email?
*
Submit
