Name
*
First Name
Last Name
Email
*
Phone
(###)
###
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What's inspiring to schedule this call?
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E.g., feeling stuck, navigating a transition, seeking clarity, etc. – Please be as specific as you feel comfortable.
What areas of your life would you like to focus on or transform?
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Select all that apply
Career/Professional Life (e.g., finding alignment, making a career change, stepping into your purpose)
Relationships (e.g., improving communication, deepening connections, healing old patterns)
Parenting/Family Dynamics (e.g., navigating parenthood, strengthening family connections, balancing parenting with other priorities, healing family trauma))
Personal Growth (e.g., building confidence, breaking through self-doubt or harmful habits, self-discovery)
Life Purpose (e.g., finding clarity, creating a more meaningful and aligned life)
Emotional Well-Being (e.g., reducing stress, overcoming fear, reconnecting to joy)
Spiritual Alignment (e.g., exploring astrology, connecting with intuition, deepening spiritual practices)
Work-Life Balance (e.g., juggling responsibilities, creating more ease and flow in daily life)
How did you hear about us?
Option 1
Option 2
Have you worked with a coach or astrologer before?
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Yes
No
Anything else you'd like to share?
Thank you for completing this application!
I’ll review your responses and reach out to confirm your call. I’m looking forward to connecting with you and exploring how we can create meaningful transformation together!
(Note: Submitting this application does not obligate you to work with me—it’s simply an opportunity for us to see if we’re a good fit.)