Let's Get to Know You!

Guided by Peace, Led by Purpose — Let's Begin

Let's Stay Connected. . .

Share your info below. . . as much or as little as you like

First Name *

Last Name *

Phone

Address

Street Address

City

State

Country

Postal code

Where Are You in Your Journey?

Everyone's path looks a little different. You can share whatever feels right for you right now.

How would you describe your current focus?

No pressure! Just choose what fits today, it's totally ok if it evolves

If you chose 'Other', feel free to describe your situation here.

"You can share as much or as little as you like."

What's leading you forward right now?

What’s inspiring this season of change or exploration for you? Big dreams, small nudges, or simply curiosity — it all matters

What is inspiring you to consider a change or explore options?

It could be something specific or something you're just beginning to sense. No rush — share what feels right.

A Little More About You

Understanding where you are today helps me walk with you gently into what’s next.

Current Living Situation

Which best describes your current situation?

Looking Ahead. . .

If you had a magic wand, when would you hope to make a change? Your timeline helps me support you at the right pace

When would you ideally like to make a change or move forward?

Anything Else You’d Like to Share?

Sometimes the little things are the big things. Feel free to share anything personal you’d like me to know — family, dreams, hopes, stories, or anything important to your heart.

How did you find your way to me?

What made you feel ready to reach out?

Anything else you’d like me to know about you or your journey?

Every connection has a story. I would love to hear anything you’d like to share — how you found me, why you reached out, or anything else that feels important to you

About Our Connection. . .

Connection Source

(Referral, social media, website, other...)

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