Are you ready?

Join me in a safe container to reconnect with yourself and realign your life with your beliefs by making the changes that your heart desires.

This is your time to speak from your heart, and practice self-love.

When I work with you, I give you the necessary tools to gain clarity and discernment. Each session is an opportunity to open your heart and imagine your life as an ongoing celebration.

I am here to support you in discovering your way of embracing your inner truth.

I want to

know you

I want to make sure we are a good fit and that you are ready to commit to your growth. Please gift yourself 20-25 minutes to complete the following questionnaire.

Name

First Name

Last Name

Preferred Pronouns

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Instagram/Facebook

Occupation

Date of Birth

YYYY

Marital Status

Names/ages of Children

Overall Health

Previous/Current Psychological Treatment (why, when, how long)

Previous/Current Coaching (why, when, how long)

Medications currently taking

Areas of Self-Actualization

Instructions: This tool is to support you to reflect on where you would like to be in specific areas and where you currently are. Please be honest with yourself, this isn’t an assessment. We will use the tool as a starting point for reflecting and creating the coaching outcome together. For each of the below areas, think about what an ideal life would look like for you. Then rate out of 10, how satisfied you currently feel in this area. 1 = very dissatisfied, whereas 10 = fully satisfied. Use the first number (score) that pops into your head, not what you think it should be. To support you to rate your satisfaction in each area, we have given you some examples of what a fulfilled life might look like in each area. However, please don’t limit yourself to these examples and instead focus on what is important to you in that area.

Love and Relationships

For example, you’re in a fulfilling romantic relationship, where you feel ‘met’ on all levels, you have fulfilling, rich, growth-oriented relationships with spouse, family, and friends.

Prosperity/Career

For example, you’re earning enough to have the resources to thrive, prosper and contribute in life, you’re managing finances effectively, working in a career where you feel fulfilled and is aligned with your values.

Creativity

For example, you enjoy creating, playing and having fun on a regular basis, you have some form of creative expression, such as painting, dancing, writing, etc.

Spirituality

For example, you feel deeply connected to a higher power and trust life to support you to create, grow and evolve, you trust your inner wisdom to guide and support you.

Health

For example, you’re fit, healthy, radiant, vital, and have enough energy to do everything you want to do, you support yourself to eat well and stay calm/centered daily.

Influence

For example, you feel like you’re impacting, uplifting and empowering regularly, you’re leading the groups and numbers of people you want to be impacting.

Calling

For example, you feel like you know what you’re calling or purpose is, you’re cultivating your purpose and sharing it with the world.

Confidence

For example, you feel the confidence to create what you want in your life, to lead others, to take risks, express yourself fully with others, and follow your inner wisdom/ideas.

From the above areas, which area of your life represents the biggest gap between what you deeply desire and how you life is currently showing up?

Reflection Questions. The following questions are designed to help me get to know you better, as well as understand a bit more about what you would like to receive from the coaching relationship. They are designed to be pondered and to stimulate your thinking in a way that will make our work together dynamic and rich.

Which areas in your life and/or work do you most want to impact through this program?

What is it you most want to create in your life right now? What would success look like?

What have been the biggest challenges that have been affecting your life?

List 5 qualities you appreciate most about yourself and 5 things about yourself that you struggle with

Think about two people that you really admire. What inspires you about them?

What activities do you most enjoy doing?

What brought you to this very moment- to seek guidance?

What would you most like to receive from me, as your guide? How can I best support you in this program?

What kind of new dream are you looking to create? Tell me about where you want to be or how you want to feel.

Is there any other background information that would be relevant for me to know? e.g. work, health or relationships, etc.

Why do you want to work with me? Allow yourself to speak from your heart. There is no right or wrong answer!

This program is designed for those who are committed to embarking on this transformative journey and ready to dive deep and do the work. Are you prepared to commit to this path and seek profound changes in both your inner and outer dream?

Yes! I'm totally in.

No. I'm not sure.