Form – Just Ask Melinda

Discovery Call

You are the creator of your life.
Begin creating a life you love.
You are not alone in this.

Before we get started, I will ask you to fill out the following questionnaire. This way I won’t be wasting your precious time and we can dive into how I can serve you best.

Please fill out the form below and click submit when you are done.

You will receive an email response within 24 hours or less with a confirmation.

Our coaching conversation will take place over the phone or on zoom so you can relax within the comfort of your own home in any city, state or country.

Thank you.

Name

Phone number

Have you ever been coached before?

Yes No

If YES, when and what was your experience? Did you get the help you needed? Did it meet your expectations? If not, why?

What is your current occupation (current or past)?

Please tell me your interest in working with a coach?

I might be interested in working with a coach I am interested in working with a coach I definitely want to work with a coach

Are you ready to commit to dissolving limiting beliefs and creating the best things for your life?

Yes, I am 100% ready No, I am not 100% ready yet

Please describe the reason's you are seeking coaching

If you choose to be coached for a specific challenge or challenges, how would you like to feel after being coached and what would you like to accomplish?

Describe the current roadblocks you perceive to be in the way of the above accomplishment? In other words what do you feel is holding you back from achieving your goal, dream or preferred vision?

Tell me what you most appreciate about your current situation?

Please list your strengths (all of them, don't leave anything out)

Certified Energy Facilitator & Intuitive

Discovery Call

You are the creator of your life. Begin creating a life you love. You are not alone in this.

You are the creator of your life.
Begin creating a life you love.
You are not alone in this.