Coaching Alignment Form

Life is initiating you, and your work is to find a guide who can support you as you face your shadow, release what no longer serves you, and fully commit to creating the life your soul requires. The Coaching Alignment Form helps clarify your desire and commitment to this level of transformational work. 

NOTE ON PROCESS: Once you complete this form, Dr. Mike Simmons will reach out to you to schedule a time to meet via zoom or in person (if you're in the Portland, OR area).

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Name *
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Which communication method do you prefer for receiving updates and next steps?

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Did someone recommend or refer you to work with Dr. Mike Simmons? If so, who? *
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