I can’t wait to help you crush your personal & professional goals!

I am interested in *

Learning to prioritize more effectively

Getting better at trusting my gut instinct

Feeling less guilty

Getting better at saying "no" and setting boundaries

Improving my general overall quality of life

Being more successful at work

Being a better partner/spouse/parent/family member/friend

What barriers are keeping you from living a more satisying, fulfilling, and balanced life? *

Not having enough time in the day

Juggling too many priorities

Feeling unsupported at work

Feeling unsupported at home

Not having enough energy to do everything I would like/Feeling run-down

Worrying too much

Procrastinating/Avoiding things I know I shouldn't

Not trusting myself/being too hard on myself

Neglecting my self-care

If you decided to pursue Coaching, where would you want your appointments to take place? *

Online, using my confidential portal

At your office (additional fees apply for travel cost)

In a green space, like a local park, where we can walk & talk (additional fees apply)

At a nearby coffee shop or restaurant (additional fees apply)

Online, but in a group setting with other people

If you decided to pursue Coaching, when would you be available to meet?

Monday-Friday, 9am-noon

Monday-Friday Noon-3pm

Monday-Friday 3pm-5pm

Monday-Friday after 5pm (note: after-hours charges apply for coaching taking place after 5pm)

If you aren't already, would you like to receive resources by e-mail for recognizing and preventing Burnout?

Yes!

Name

First Name

Last Name

Phone

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