Work With Me
Thank you for your interest in working with me. To determine if we are a suitable match for working together, please complete the following questions.

By submitting this form, you agree to be added to my mailing list.

I look forward to receiving your application.

Best wishes,
Email address *
First Name *
Last Name *
Contact Number *
How did you learn about my work? (If via recommendation, please give the person's name) *
Why are you drawn to working with me? *
Hopes & Dreams
What area of your life would you like me to support you with? *
What bothers you MOST about it? *
How would you LOVE this to be in an ideal world? *
What is the main thing stopping you creating this reality for yourself? *
Have you worked with a coach or therapist on similar issues? If so, what was the outcome? *
Your Readiness For This Work
How committed are you to bringing about this transformation? *
Do you have the finances available to work with me? *
Are you willing to face difficult parts of yourself that are holding you back and to feel and express your emotions? (I will guide you) *
What forms of personal growth work have you done in the last 5 years? *
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