First Name
Last Email
Phone Number
Email
Are you inquiring for yourself or a young person? (Please check one)
MyselfYoung Person
What type of service are you interested in? (You can choose more than one)
CoachingCounsellingNutrition
We'd love to hear more about what brought you here today. What specific challenges or issues would you like to discuss or work on? Feel free to share as much or as little as you're comfortable with. We're here to help.
What are the big dreams and goals you have for yourself or the young person you're inquiring for? How can we support you/them in achieving them?
Do you have any preferences for how we deliver our services? Whether it's a phone chat or video session, we want to make sure you/they are comfortable. Please let us know your/their preferred modality.
Do you have any specific timeframes in mind for reaching your goals, or are you/they taking things one step at a time? We're here to support you/them no matter the pace.
Have you/they ever tried coaching, counselling, or nutrition guidance before? If so, we'd love to hear about your/their past experiences. It can help us tailor our approach to your/their needs.
Is there anything else you'd like to share about yourself/your young person or the situation that could help us better understand how to support you/them? Your/their unique perspective matters.