Pre-Call Questionnaire

First Name *

Last Name *

Email *

What is your Instagram handle? If you don't have Instagram, share the link to a different platform (i.e. Facebook, TikTok, etc).

I’ll respect your time, please respect mine. Don’t book this call if you’ll be driving, distracted, or in a noisy space. Show up in a quiet spot where we can have a real conversation. *

Yes — I’ll be in a quiet space and fully present.

No — I can’t give this my full focus right now.

What's your current relationship status? *

What is the biggest struggle you are facing right now? (Please be specific and provide as much detail as possible) *

What have you tried in the past to solve this? *

From 1 (just looking) to 10 (I'm ready to act now), how committed are you to fixing this problem? *

Which best describes your income level? *

If their was a solution to fix your current situation, what would you be willing to invest in yourself to overcome it? *

$1-$3k

$3-$5k

$5-10k

Whatever It Takes

Before you submit…is there anything else you’d like me to know?