Get Started

First name

Last name

Your email Address

Pronouns

Gender

Phone number

City you live in

State you live in

Briefly describe your concerns for coming to coaching

What are your goals for working with me, what do you want to be different?

Have you ever worked with a coach? Have you ever worked with a coach?YesNo

Are you currently working with a therapist? Are you currently working with a therapist?YesNo

Please list the areas you'd like to address in coaching? Please list the areas you'd like to address in coaching? Work stress (Work relationships, career transition, work/life balance) Feeling stuck making a decision or finding clarity on what's next Relationships issues Parenting Life Transition (Empty nest, changing careers, lost of a loved one) Anxiety Feeling sad, down or depressed Challenges related to diversity, inclusion, equality, etc.

Anything else you would want me to know?