Pre-Client Application
I'm so excited about the possibility of working together! Please take the time to answer these questions. This form will help me see if we are a good fit for each other. If we are, you will receive a text message from me.

| Refined Life Coaching is intended as a personal growth experience and should not be looked upon as a substitute for psychotherapy. |
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Email *
First and Last Name *
Phone number(Please include area code) *
Where are you located? *
What currently triggers your stress/unhappiness/anxiety/depression/self-doubt? *
What are your biggest challenges that you would like support with? *
How do you WANT to feel in the next 60 days? *
How did you find me? *
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