Thank you for your interest in working with me! Please complete this questionnaire to help me get to know you better. Don’t be shy, please elaborate as much as possible with your answers. Once I receive this form, I will send you an email with your next steps.

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What brought you to seek coaching now?

What would you be doing in your life if you didn't care what anyone else thought?

What do you feel is holding you back from having the life you desire?

What would you like to come out of this work knowing or remembering about yourself?

If I had a magic wand and you could have anything, what would be happening in your life 6-12 months from now as a result of our working together?

Imagine we determine we are a good fit to work together. Please select the option that fits you best:

I have the financial resources necessary to invest in deep work, starting today.

Even though I'll be making an investment that might not be comfortable, I am ready for deep work at this level.

I don't have the means to make an investment and don't see how it's possible for this to change in the next 6-12 months.