Contact Us

Name

First Name

Last Name

Your best email for follow-up.

What's been weighing on you most lately, and how is it affecting your daily life?

This helps me understand where you're starting from.

If we could wave a magic wand, what would you love to experience, feel, or achieve in the next 6 months?

Le'ts dream a little - what does your ideal future look like?

What have you already tried to create change, and what do you feel has been missing?

Your past efforts provide insight into your journey so far.

On a scale from 1 to 5, how ready do you feel to invest time, energy, and resources into creating real change right now?

1 = Just exploring options; 3 = Warming up to it; 5 = Fully committed to making a change.

Are you prepared to invest in personalized coaching at this time if it feels like the right fit?

(No pressure, this helps me understand how best to support you.)

How did you hear about Cognitive Coaching Solutions?

Referral, social media, search engine, other?