Request for Complimentary Consultation
Thanks for requesting a complimentary consultation with me! These consultations are filled on a first come, first served basis, and openings and timings are limited. During this session we will discuss where you at at now, your goals, some suggestions you can try right now and what I might be able to offer you. Even if you aren't in a position for coaching right now, I can point you in the direction of some more resources.
Were you interested in a specific programme of mine?
How long have you been living with fibromyalgia symptoms?
What is your age group?
In your 20s
In your 30s
In your 40s
In your 50s
In your 60s or above
Do you work/volunteer/look after children...
less than 10 hours a week
11-20 hours per week
21-30 hours per week
31-40 hours per week
more than 40
What area do you most want to work on right now?
Nervous system overload
What other things have you invested in/tried to fight fibromyalgia? Please give me a good idea of how much you have already tried and know.
Do you have a specific question or area you would like some tips on in our call?
When are the best days/times for a chat via Google Hangouts?
Wednesday or Thursday evenings
What is your timezone? (I'm Wellington, NZ)
Do you wish to be included in the Melissa vs Fibromyalgia newsletter list to receive my latest posts, freebies and more?
How did you hear about my coaching services?
I am on your newsletter list
I am in one of your Facebook groups
Your facebook page
I follow your blog
Signature. Writing your name below confirms that the information you have provided is correct as you know it.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service