1. Basic Information Full Name Phone Number Email City / Country 2. First Contact How did you find me? InstagramReferralBooksWebsiteOther Have you had any previous contact with my work? YesNo If you answered "Yes", please tell me more 3. Your Current Situation At this moment, what feels out of alignment in your life or in the stage you are currently experiencing? Where would you say you are right now? Seeking clarityGoing through a changeMaking important decisionsReorganizing my life or directionOther 4. Previous Context Have you previously participated in any form of coaching, therapy, or personal development process? YesNo If yes, what type of process have you experienced? Do you feel it helped you, or did it leave you with more questions? 5. Readiness & Investment This space requires openness to gain clarity and make decisions. Do you feel you are at that point right now? YesNoI'm not sure yet This 1:1 consultation is a personalized space for direct work and involves a financial investment. Do you feel ready to invest in this process at this time? YesNoI need more information If you decide to move forward, what would you like to organize, improve, or transform through this consultation?
