DISCOVERY CALL | OHS 2020

Please Review & Submit This Form in Preparation for Our Discovery Call

Thanks so much for reaching out...I'm really looking forward to connecting with you.

Here's what I propose to help us make our time together even more efficient and valuable by focusing on what's really important; YOU.

Please submit the answers to the following questions prior to our phone or zoom video call.

Everything that you share with me will be kept confidential.

First name

Last name

Birthday

Phone

On a scale of 1 to 10 with 10 being able to enjoy life to the fullest, how would you rate your quality of life

On a scale of 1 to 10 with 10 being Optimal Physical Health, how would you rate your physical health

Which one of the 7 aspects are causing you the most dis-ease or disease aka stress

What have you done so far as to reduce the dis-ease/disease/stress

What pattern, challenge, or conflict are you wanting to talk about over a discovery call?

Is there anything getting in the way of you achieving this now? (self sabotage or circumstances beyond your control)

How will finally overcoming these obstacles and achieving your goals make a difference for you?

On a scale of 1 to 10 with 10 being extremely motivated, how motivated are you to reach your goals

How did you hear about me? (is there someone who referred you?)

Arrange these values in order of highest to lowest importance for you: a) Security b) freedom c) relationships d) Health e) career f) inner peace

Is there anything else you want me to know ?

NEXT STEP:

Upon submitting this form you'll be directed to a page

where you can schedule a 30 minute phone consultation