Threshold 1-1 Work with Eliza
Thank you so much for your interest in working together, sweet friend. Please fill out this form before we connect for our session. Everything you share here is completely confidential.

I look forward to our time together. If you have any questions please email me

Love and gratitude,
Eliza Ceci

Your Name *
Your answer
Your preferred pronouns *
Your email address *
Your answer
Your phone number (where I will call you for our session). If you're outside the US we will connect on zoom. Those details will be emailed to you before our session. *
Your answer
Please share what's most present for you in your life right now. What are you going through? "Good"/"bad" all is welcome! *
Your answer
If you could shift ONE belief or story about yourself what would it be? *
Your answer
What interests you most about (possibly) working together? What do you see yourself receiving support around? (job, happiness, trauma, fear, blocks, manifesting, etc) Any details you can share would be really helpful for our call. *
Your answer
Have you ever worked with a coach before? *
Your answer
What questions do you have about working together? *
Your answer
How committed to your self-care, self-growth, healing, happiness (the things most important to you) are you right now. *
not committed at all
super committed, I NEED to shift this
How action oriented are you? If I were to give you 'homework' in between sessions which of these best describes you? *
Anything else that's on your heart you'd like to share?
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service