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Request Form
Thank you for expressing interest in working with me! If we work together, I will be creating a custom plan for you, along with weekly play work assignments tailored to your personal goals. In order to help me help you to the fullest, and to see if we'll be a good fit, please fill out this form as thoroughly as possible.
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Contact Information: Please write your name, email address, and availability
What specifically makes you interested in working with me? (check all that may apply)
If you selected "other", please describe what you would like coaching with, being as descriptive as possible.
What are your top priorities and goals?
What are you currently doing to work towards those goals?
What are your current biggest roadblocks to achieving your goals?
Optional: This space is for any questions you may have at the moment that you would like answered at our consultation call.
Please ensure that you are in a quiet location with wifi/internet connection for our consultation call and any following sessions. Appointment setting will be done via email and text, and lessons and calls will be over zoom. I look forward to talking with you! *
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