Intake Questionnaire
Helping you realign your life is my top priority. Your answers will allow me to help you embody your Gloriousness.

The more I understand your dreams, desires, and challenges — the more I can give you the support you need!
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Email *
First and Last Name
Describe the dream life you want to create. Include who you want to be, what you want to do, and what is the life you want to have? *
What is your biggest struggle when it comes to creating the life (health, love, financial) of your dreams? *
Why do you want to create this dream life? How will it serve you and others? *
How is NOT having this dream life (health, financial, love) affecting you mentally, emotionally, spiritually, physically, or financially? What are specific goals you have for the next 12 months? *
What’s one activity/habit that would joyfully transform your life if you did it more consistently? *
As it relates to your dream life (health, financial, love) — what do you believe is within your control? What are you responsible for? What is outside of your control? *
What part of your life (health, financial, love) is working really well? What are you excited about? What are you proud of right now? 
What’s missing in your dream life? What will it take for you to have or experience what you most want? 
Please finish the following sentences with the first thing that comes to your mind.  
“One thing I wish I did more of is ...” 
“I spend way too much time on…” 
“I have a hard time consistently…”
Describe the most important thing you want to learn, change, or accomplish in your life now?
Is there anything else you want to include?
Congrats! You're finished. Before you hit the submit button. Click this link to open in a new tab Book Your Call with Me and then be sure to hit the submit button at the bottom of this page. Thank you! 
A copy of your responses will be emailed to the address you provided.
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