Coaching application

I am grateful that you have chosen to bring me into your unfolding journey. As with all forms personal development and healing, it takes effort, time, openness and action. Therefore I need you to sit with this form and go deep and detailed as you reflect. The more you share, the more I will understand your current settings. With that, comes a more efficient process from beginning to end. Everything you share here is for my eyes only. I hold your privacy in highest possible regard. After you submit the form I will reach out to you via email to schedule our consult call for my coaching program, or your appointment time for packages, and individual Soul Activation + Integration.

Name

First Name

Last Name

Email Address

Skype Name

If you are interested in virtual sessions - Please list Skype name here and Claire will add you.

Phone #

Please provide your phone # if you are interested in doing a short 15 min Consult call with Claire before committing to a package or program.

How did you find me?

What Packages/Services are you interested in?

What are you hoping to achieve from our work, together?

Building on the last question, go into detail about what you need to change or shift in your life:

List daily /weekly Activities

What are your favorite ways to Relax + Ground yourself?

Are you currently taking any medications?/Herbs/Supplements?

What/Who in nature is close to your heart?

If this is difficult to answer, close your eyes and think of being free in nature and fully in a state of joy and happiness. What’s there and what does that look like?

Place yourself into the future you who has successfully shifted out of your current challenges. Take a moment to reflect: How would you feel and what kind of emotions would arise?

If you knew you could not fail, what’s the one big thing you would do or accomplish?

What time frames would you be available for sessions?

Anything Else?

Coaching application

Schedule Appointment