Pre-Consultation Form


Upon completion of this form, Michele will start an email conversation with you to gather more information and set up your first session.

Name *
Name
Mailing Address *
Mailing Address
Phone *
Phone
Age Group *
In no more than three sentences, please describe what you are seeking from a life coach.
Initial Survey *
Initial Survey
I know my strengths and weaknesses
I am comfortable doing things in new and different ways to be successful
I am confident in my abilities
I live my life true to my values
I am comfortable with my interpersonal relationships
I am able to work outside of my comfort zone
I am satisfied with my life