Working with Dr. Katie Henry
Thank you for your interest in working with Dr. Katie Henry. Please complete this form so I can learn a little more about you.
Thanks and go do something that brings you joy.
Live fueled by joy!

From a Grateful Heart,
Dr. Katie Henry

Email address *
Full Name *
Your answer
Phone Number *
Your answer
What type of service/business do you do? Who do you serve? *
Your answer
What do you desire to change so that you can living with the JOY you want and shift your mindset? *
Your answer
What steps have you taken towards your goal of living a happier and more joyful life and/or creating a profitable business full of with joy? *
Your answer
How would you feel if you could have limitless energy, know how you want to feel, speak assertively, own your power, be authentic in your career/business and have tools to go to when life happens so that you can re-ignite the spark in your life? *
Your answer
What is your biggest goal you want to achieve in your life, business/career and yourself in the next 6 months? How would you feel achieving this goal? *
Your answer
Have you been mentored or coached by others? If so, what would they say about their experience mentoring/coaching you? *
Your answer
Would you prefer individual coaching or a group environment? *
Your answer
I believe that it takes an investment of time, energy, commitment and money to achieve my desires I have in my life. Are you ready to invest in yourself to get the support you need to make this vision your reality? *
Why are you wanting to work with me? Why do you think you would be a fit? I ONLY work with people who are committed, willing and ready to do the work to truly transform. *
Your answer
Are you ready to invest in your business and JOY? *
Do you have or are you committed to creating the funds to begin this process with me now? *
Your answer
How would you describe yourself and your attitude and approach to achieving the healthy, vibrant life and career/business you have always wanted? *
On a scale of 1 to 10 (10=most committed), how committed are you to making this change in your life and your business? *
Not very Committed
Extremely Committed
I am only able to schedule sessions with those I know I can truly help. Is there anything else you would like us to know when considering your application to work with Dr. Katie Henry? *
Your answer
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