Complimentary Discovery Call
We are so excited to have you here! Welcome to step one in making a powerful transformation in your life. :)
Email address *
What is your intention for this call?
What is your biggest challenge?
Does this challenge affect other areas of your life?
What has blocked you from taking action on this challenge?
How ready are you to shift this challenge?
Too scared to take action
EXTREMELY ready to move through this
Clear selection
What is the most significant life experience that stands out in your mind? Why is it significant to you and what did you learn?
What is your birthday?
MM
/
DD
/
YYYY
Do you have any health conditions? If so, please list below.
Do you see any of the following health practitioners?
List any medications or supplements you take.
What are some typical foods you eat?
Do you exercise?
Who do you call for support?
Do you have a religious or spiritual practice?
How many hours of sleep do you get a night?
How satisfied are you with your career?
Not at all
Extremely
Clear selection
How satisfied are you with your relationships?
Not at all
Extremely
Clear selection
How satisfied are you with your health?
Not at all
Extremely
Clear selection
How satisfied are you with yourself?
Definitely needs works
I'm the best!
Clear selection
What are you hoping to have by the end of this call?
Have you ever had a coach? If so, when, for how long, how much did you invest, and what did you get out of it?
Are you willing to invest in yourself to transform your life? *
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