Section 1: Basic Info

1. Full Name *

2. Email *

3. Phone *

4. Instagram Handle & Website *

Section 2: Business Snapshot

5. What’s the name of your business or brand? *

6. How long have you been in business? *

7. What is your current average monthly revenue? (Confidential) *

8. Are you currently working full-time in your business? *

Section 3: Support & Clarity

9. What area of your business do you feel the most stuck in right now? [Select All That Apply] *

10. What are you expecting to get from working with me? *

Section 4: Fit & Commitment

11. Which of my services are you most drawn to right now? *

12. Are you prepared to invest in your business at a high level (4–5 figures)? *

Yes

Not Yet

I’d like to discuss options

13. On a scale from 1–10, how committed are you to doing the work required to grow your brand and income? *

Section 5: Support System & Capacity Questions

14. Who currently supports you in your business (if anyone)? [Checkboxes – Select All That Apply] *

15. What does your personal life look like right now when it comes to time, energy, and responsibilities? *

16. Do you currently have boundaries around work and family time? *

17. Are you building a business that supports your life — or is your life supporting your business? *

Section 6: Final Notes

18. What does success look like for you in the next 6–12 months? *

19. Where did you hear about me? *

20. Anything else you’d like me to know first? *

Thank you! Please click SUBMIT below. I personally review every form to ensure alignment. If it’s a fit, you’ll hear from me or my team within 2–3 business days with next steps.

Your next chapter starts with clarity — and I’m honored to possibly be part of it.