Discovery Call Form
First name
Last name
Email
Phone
Which of these best describes you:
Single
Divorced
Married & Separated
Married & Together
What type of support are you seeking?
Individual- Women’s Coaching
Individual- Men’s Coaching
Couples Coaching
Women’s Retreat
Men’s Retreat
Courses & Group Coaching
Are you looking to expand any business or career goals right now?
YES
NO
What would you say your relationship status is right now?
No significant other relationship right now
Relationship is good and supportive
Relationship is rocky
Relationship is hanging by a thread
Put these topics in order of priority that you feel you need to work on: Relationship, Finances, Purposes, Gifts, Self Healing, Self Empowerment
Why are you interested in coaching? What are you seeking support in and what do you hope to gain from this call together?
What options, therapies or modalities have you tried to do so far to heal or get help with what you are seeking?
What’s missing in your life right now that would make life more fulfilling?
What excites you about being coached?
What role does spirituality and a higher power play in your life?
On your complimentary discovery call, we will discuss all the questions you may have, including the investment in coaching. Are you willing to invest in yourself financially to create this growth?
I hope to one day have the money.
Yes, I am so committed to this work and ready to invest in myself because I know I’m worth it!
No, not at this time.
Since this could lead to a possible partnership of working together, and we are both deciphering to see if this is a good fit, what do you feel makes you a top candidate for us to choose to work with you on this journey?
How did you hear about us?
What is your level of income right now?
0-50K Annually
50K-85K Annually
85K-125K Annually
125K-200K Annually
200K+ Annually
Where do you live?
How committed are you to creating massive shifts and results in this area of your life?
1- Not committed at all
2- About 25% Committed
3- About 50% Committed
4- About 75% Committed
5- Absolutely 100% Committed
Schedule a meeting- If you are seeking couples coaching- you and your spouse are both required to be on the call so please schedule accordingly.
July 2026
Sun
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Sat
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Time zone: Coordinated Universal Time (UTC)
Online meeting
Sunday, Jul 19
Submit
Discovery Form