To schedule your complimentary assessment session with me, please complete this brief questionnaire which will act as the basis of our first discussion.

Complimentary Assessment background questionnaire:

Your Name (required)

Your Email (required)

Skype/Facetime ID

1. If there was one thing you would like to change in your life, what would it be and what difference would it make to you?

2. What has stopped you from achieving your dreams in the past?

3. What are you currently struggling with?

4. If I waved a magic wand and you could have anything you wanted – what would it be?

5. What would you like your dream life to look like?

Once I have received this, I will be in contact with you within 24 hours to schedule our session together on Skype or Facetime.

All information supplied will be kept confidential.

Δ