Kickass Teacher Consult Application

Welcome fellow life adventurer! One thing Indiana Jones taught me about adventure is that it isn't always easy and is often best with the right guide.

During this consult, you'll receive my undivided attention helping you step closer to the clarity, balance, and freedom you seek. You will:

Identify what your next steps are toward overcoming your biggest obstacle.
Discover more about yourself and what you want in life, and
I'll share some valuable resources to help you continue forward.

Only fields with an asterisk * are required. All others are helpful but not absolutely necessary.

Name*

First NameLast Name

E-mail*

Do you want to be included in my email community?

Yes, Keep me in the loop!No thanks, I’m good!

Best Contact Number (all consults are by phone):*

Occupation

Referred By

Great! I'm excited to work together. All client information is confidential and treated appropriately. Thanks for providing thoughtful responses to the following questions so I can intentionally map out my best service to you.

What is your main reason for seeking support?*

What are your biggest challenges when it comes to this issue?*

Have you gotten support for this before? What was your experience?

How ready are you to invest not only money but time, energy and heart into resolving this?*

100% ready80-90% ReadyI’m in 75% or less right now

What do you hope to get from our time together?*

Do you feel like you are coachable?*

YesSomewhatNot really

While working with a life coach, what is the key to seeing these results fully happen for you?*

Perfect! Once you submit this registration you will be directed to my booking calender to pick a good time for us to chat.

Payment

Consultation$27.00

45 minutes If for any reason I don't think we are a good fit for this consult, I will refund your fee in full.

Total $0.00

Credit Card

Consult Registration Form

Credit Card