Name
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First Name
Last Name
Email
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Phone
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(###)
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Date of Birth
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MM
DD
YYYY
Place AND time of Birth
Do I have your permission to use your birth info to calculate your natal chart and/or Human Design? This is intended to inform & inspire how I coach you specifically! (*Note: Does not imply that YOU have to learn about these.😉)
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Yes please.
Nah.
Let's chat about it!
Preferred Communication
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Email
Text
Call
Other (What's App, Signal, etc.)
What are you hoping to accomplish through our coaching sessions? Why are you here? First thoughts....
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Tell me about an important goal/intention/dream you have for your life right now.
Do you have any conditions - mental or physical - that you believe would be helpful for me to know about?
Are you currently actively working with any healers, helpers or therapies?
How about a glimpse into your home life 🏡 - Partner/Family? Children? Pets? Environment?
Will your family and friends be supportive of your desire to make intended changes in your life?
Occupation? Do You Love It?
Stress - We've all got it. How's yours?
Let's talk about your cycle! Are you in a menstrual or menopausal phase of life? How's your relationship to your monthly cycle, in general?
Sleep, precious sleep. ✨How much & how's the quality?
What is the single most important thing you ALREADY know you want/need to change about your life/style?
Is there anything else you would like to share?
Do you understand that Red Tent content is intended for the purpose of education, self-empowerment and inspiration, and should not be considered a substitute for professional medical advice, diagnosis or treatment.
Yes, I understand!
Hmmm, not sure - can we chat about this?
