let’s grow together Name * First Name Last Name Email * Birthdate * MM DD YYYY Phone * (###) ### #### Pronouns How did you hear about us? What kind of coaching are you looking for? * Check all that apply Career/Resume Help Life Clarity & Direction Emotional Support/Reflection Creative Coaching Identity/Self-Discovery Acting/Haunt Character Work Something Else Which statement feels most true for you right now? * I'm stuck and don't know why I know what I want, but I'm overwhelmed I need help processing something emotional I just need someone to talk to who gets it I don't even know what I need, but I feel called to this Tools & Modalities * I use a blend of tools in my coaching. You're in control of what we use. 16 Personalities (MPTI-style) CliftonStrengths/StrengthsFinder Artificial Intelligence (Chatbots, Creative & Career Support, Intuitive Processing) Tarot and/or Oracle Cards Journaling/Reflection Prompts Spiritual or Energy Talk Resume Review and/or Mock Interviews Career Strategy Goal-Tracking + Accountability Honestly, I’m just vibing. Surprise me What brings you here?? * Tell me a little bit about what's going on and if there is anything specific you're hoping to get out working together. Are you currently seeing a therapist or mental health professional? * Note: I’m not a therapist. I’m here to support your growth—not to treat or diagnose mental health conditions. Yes No No, but I've been thinking about it Sorry, I'd rather not answer that Boundaries & Vibes * This space may include heavy emotion, deep reflection, weird metaphors, and the occasional tear. Additionally, I work best with people who are willing to be honest with themselves, even if and when it’s uncomfortable. Does this all feel like something you’re ready for and comfortable with? Absolutely! Let's go there! No, I prefer to keep it more structured and logical I'm not really sure, it depends on the day, but I'm open to try new things! How do you want me to show up for you? * Check all that apply Gentle and Supportive Direct and Honest Creative and Chaotic Structure and Practical Just Listen and Reflect Other What kind of sessions are you open to and looking for? * Check all that apply One-on-one Discord/video calls Phone calls Voice memos back-and-forth Text-based coaching In-person Not sure yet, let's figure it out together! How often are you wanting to connect? * One-Time Deep-Dive Weekly Bi-Weekly Once a month I'll reach out when I need something What's your favorite color?? Do you have any access needs or communication preferences I should know about? Thank you!