All Belong Coaching Info Request

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Please fill this form out if you are interested in learning more/getting a free discovery call with Kat.

First and Last Name *

Email Address *

Pronouns (she/her, he/him, they/them,)

Phone Number (Mobile Preferred) - Optional

How would you prefer we communicate outside of appointments? *

What Areas Are You Interested In Potentially Working On In Coaching Sessions? (please pick as many as apply) *

Relationship with Self - Confidence, transformation, boundary setting, self care, etc.

Uncovering Personal Strengths, Building Self Confidence, Reducing Limiting Beliefs

Relationship with Family Member - building trust, communication skills, boundary setting, etc.

Family Strengthening for Queer and/or Poly Families

Relationship With Partner(s) - healthy boundaries, (re)build trust, discover mutual goals, etc.

Navigating Queer and/or Poly Relationshipos

ADHD - Organizing, time management, task initiation, prioritization

ADHD - Goal Setting and Boundary Setting

ADHD - Developing routines that work, identifying roadblocks, getting unstuck

ADHD - Brainstorming accommodations for work or school

Parenting an ADHD Kiddo - Navigating systems and services, skill building, communication

Parenting the LGBQ+ - Navigating the coming out process. Be an Ally and an Advocate

Self Care for the Caregiver

Required

What would you prefer next? *

More Information (I will email you more information about coaching services)

A free 20 minute discovery session (free 20 minute consultation with me to discuss coaching, what it is, how it can help, what goals you may have, etc.)

To book an appointment

Would you like to join my email list? (1-2 emails a week - newsletters, specials, tips and more) *

Yes Please

No thanks, I'm already on the list

No thanks, Not At This Time

Briefly tell me what you are hoping to gain from Coaching (It's okay if you don't know yet.)

Where did you hear about All Belong Coaching or Real Chat With Kat? *

Internet Search

Friend or Family

Social Media

Other:

If you were referred by a Current Client please let me know and I will credit them for the referral!

Anything else you'd like me to know or specific questions you'd like to ask me?

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