Of course, we want to make sure the relationship is mutually beneficial. Please complete the following intake form and if we believe it's a good match, we'll follow up with a link to hop on the calendar:

Do you currently have a business or consider yourself an entrepreneur?
If you are an entrepreneur, how long have you been in business? Skip if you are not an entrepreneur.
Have you ever worked with a life/mindset coach before?
Preferred coaching/learning style:
Length of coaching:
Timeframe to hire someone to help you break free and start working towards your goal:
What are you currently struggling with? (select all that apply)
What are some habits you normally have? (select all that apply)
When something goes wrong, who do you naturally blame?
When something is hard, I:
What is usually the reason you do not accomplish your goal?
What area of your life would you like to improve?
How would you feel if you didn’t meet goal? (Refer to last question about something you want to accomplish in 30 days).
Working 1:1 does require an investment as I am fully invested in my client’s success. Are you in the position to make an investment?
Have you been diagnosed with anxiety, clinical depression, ADHD or any other condition?
If you responded “yes” to the previous question, how are you managing? If you answered “no”, please skip this question.
Are you currently seeing a counselor, therapist, psychologist or other mental health professional?
As a coach, do you understand that I cannot diagnose, treat or provide medical advice?
Copyright 2021. Natalie Butler. All rights reserved.