Complementary Consultation Form 
Welcome! Thank you for your interest in connecting with me. This discovery call is designed to help us explore your goals, challenges, and how I can support you in your journey of growth, empowerment, and transformation. Please fill out the form below to help me better understand your needs. Once submitted, you will be contacted to schedule a call.  
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Full Name:   *
 Full Name:   *
  Phone Number:   *
What is the primary area you'd like support with?  (select all that apply) *
Required
If you answered other  above please specify in detail
 What specific goals or challenges are you currently facing?   *
Have you worked with a coach, mentor, or consultant before?   *
 What are you hoping to achieve through this discovery call?  
 Preferred Call Duration:   *
  Preferred Method of Contact:   *
Best Days and Times for Your Call:   (Provide multiple options) *
Is there anything else you'd like to share before the call?   *
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