Page 1 of 2
Coaching Inquiry Intake Form
This form allows me to gather more information on what you'd like to work on and if we're a good fit to work with this intention together. After you complete the form, we'll be in touch within 5 business days to let you know next steps. π§‘
What is your First + Last Name? π·
*
Pronouns, please π§
*
E-mail Address π§
*
Mailing Address π
*
Why did you reach out for spiritual coaching? What would you like to work on together? π
*
How would you describe the current stage you are in? π
*
How will you know when you have worked with this issue successfully? What will completion feel like? π
*
What do you perceive to be the primary obstacle to reaching your intention? What's keeping you from solving this on your own? π»
*
Is there anything else you'd like me to know? β
*
My 3-month coaching commitment is $555/month or $1332 when paid in full. This is extendable to up to 6 months. Would you prefer to pay in full or monthly? Please check one.
*
My 3-month coaching commitment is $555/month or $1332 when paid in full. This is extendable to up to 6 months. Would you prefer to pay in full or monthly? Please check one.
Monthly $555
Pay in Full $1665
Submit!