Interested in exploring working with Rebecca? ツ
Hey there!

This quick form is intended to provide me with a clear idea of what you need help with before we either hop on the phone for a quick chat or set up an initial session.

Filling out this form does NOT mean you are committing to anything - it's just so we can be as efficient with our time as possible!

If it sounds like what you need isn't something I offer, then I will refer you to someone else who can help.

For any questions, please don't hesitate to email me at

I look forward to connecting further!


First Name *
Your answer
Last Name *
Your answer
City *
Your answer
Email *
Make sure this one's entered correctly ツ
Your answer
How did you first hear about Rebecca?
What industry do you currently work in?
Or, if you're currently unemployed, the industry you most recently worked in.
Your answer
What are you struggling with the most right now in your career? *
Your answer
If you were to wave a realistic magic wand, what would your career look like? *
Put in here anything that comes to mind that you know you would want for your career, even if it's vague at this point. E.g., "I'm travelling often and making X amount of money." "I'm using my hands to build things and have great coworkers.", etc.
Your answer
How do you think Rebecca can help you? *
Your answer
If it sounds like we're a fit, what would be your preferred next step? *
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