Client Application
Stacie Ysidro, Holistic Progressions contact form. Everything is strictly confidential, I do not share information with anyone! Fill out this form so we can plan a complementary exploration phone call! We will clarify your needs, see what is holding you back and brainstorm on how to get you there! We will determine if we are a good fit to work together and discuss options for moving forward.
Email address *
Full name *
Your answer
Age *
Your answer
What is your contact info? email, phone number *
Your answer
Occupation/field of work *
Your answer
How did you find me? *
Gender Identity/Pronouns
Relationship Status
What made you seek Coaching? What is you main concern/problem you want help with? *
Your answer
What have you done to help you with your concern all ready? What has worked and not worked?
Your answer
Why do you want to work with me? *
Your answer
How much time are you willing to invest in solving your problem/achieving your goal? *
How much are you willing to financially invest in achieving your goal? *
What is your preferred method of contact?
Are you willing to take action on getting help? *
How much do you value collaboration, creativity and personal growth? *
not at all
very important
What do you hope to achieve through working with me? What do you want to learn most? *
Your answer
Is there anything else you want me to know?
Your answer
When is the best time to plan your call? Make sure you will NOT be driving, distracted and can speak freely. (I am on eastern standard time)
Your answer
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