Let's Get to Your Breakthrough!

First Name

Last Name

Email

Do you currently have a business or consider yourself an entrepreneur?

Yes

No

If you are an entrepreneur, how long have you been in business?

0-3 years

4-7 years

8+ years

Have you ever worked with a life coach before?

Yes

No

What are you currently struggling with? (select all that apply)

Confidence

Being happy

Being fearful

Self-sabotage

Self-limiting beliefs or negative self-talk

Constant approval seeking

Accountability and support

Have you been diagnosed with clinical depression, ADHD or any other condition?

Yes

No

Are you currently seeing a counselor, therapist, psychologist or other mental health professional?

Yes

No

Name your #1 goal from life coaching:

Fill out the questionnaire below to begin then pick your time on calendar and get to your breakthrough: