Your Intake Form

Please fill out the form below and be as honest and detailed as possible! I am excited to get started with you. 


If you are a returning client, it is enough to answer the questions with a *.

Name *
Phone *
Mailing Address *
Mailing Address
If so, please tell me their name so I can thank them for connecting us.
What makes you say that?
What makes you say that?
What makes it scary?
E.g. have a baby, move to a new country, publish a book, find your soulmate..
These are events that changed everything for you, or after which 'nothing was the same'. List some that were negative as well as some that were positive.
Look for what you love to do and what you can do for long stretches of time without getting tired or bored.
What do people thank you for that you enjoy doing?
Please list them in order of importance.
E.g. be around people who know you well, meditate daily, at least 90% plant based food, weekly hikes.. Think about the non-negotiables when it comes to your daily wellbeing!
What would you pursue if success was guaranteed?
Houses, business equipment, cars, furniture, clothes...
E.g. clear business mission, fearless confidence... Please list the outcomes in order of importance.