Clarity & Action Call Form
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Welcome, I'm so glad you're here!

In order to best support you, please complete this form 24 hours BEFORE our scheduled 30 min video call and submit your $65 payment via venmo to @venturelove here:  https://account.venmo.com/u/VentureLove

Once you complete form and payment, I will send a calendar confirmation and we will connect via google meet video call. I look forward to speaking with you! 
First and last name *
Email address *
Phone number *
Date of birth
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How did you find me? *
Required
What is your Instagram Handle?  If you don't have one type N/A
What would you like support with? *
Can you share specific details so I can get a better picture of what you're currently seeking help with? Don't worry, everything remains 100% confidential. *
Are you currently on any medication? If so, what?
Have you ever worked with a life/health/wellness coach/birth doula? *
Required
Anything else that is important I should know about you before we speak? *
What are the best days and timeframes for you to speak. Ex: Mon-Thurs, 9-3pm.  If you are outside of California, please include your timezone. Thanks! *
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