Request edit access
Pre-Session Goals & Desires
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Your website/Facebook/Instagram/Linked In/etc, if you have ‘em & want to share 'em
How did you find your way to me?
 *
Why now? Why is this our time?
 *
What is the most pressing issue (or persistent pattern, limiting belief, roadblock, stuck place) you’d like to focus on?
 *
What are other pressing issues (or persistent patterns, limiting beliefs, roadblocks, stuck places) you’d like to work on?
Imagine that it's 1 month, 6 months, or 12 months or so from now, and our work togther is complete. You look back at our time together and say, "That was the best decision I could have made!" Why? What made it so? Meaning, what did you learn and experience? What did you shift and transform? What can you now do, be, feel, and know?
 *
What's your relationship/love-life like right now? In what way(s) would you like it to be different, if at all?
 *
What's your relationship to your body? To your sensuality? Your level of aliveness? What would you like it to be?
 *
Any neurodivergences or sensitivities? Anything you'd like to share about them?
What's your business/career/work-life like right now? In what way(s) would you like it to be different, if at all?
 *
What's your experience (if any) with coaching, NLP, therapy, personal growth, spiritual practice, mentorship, masterminds, and other transformational work?
 *
Any history of (or active treatment for) depression, anxiety, eating disorders, sexual trauma/abuse?
 *
What's something I MUST know about you, but might not think to ask?
 *
How would you like for me to best respond & support you, if there are times you feel confronted, upset, or uncomfortable?
 *
Any hesitations or questions for me?
Anything you’d like to add:
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms