Supporting you to heal, grow, and thrive

Thank you for your interest in working together.

Please take a few minutes to complete this form. It will help Caroline understand how she may be able to support you, and whether a connection call would be a valuable next step to explore the services she offers.

This form is designed to gain insight into where you are on your journey, whether you're a good fit to work together, and whether now is the right time for this kind of support.

There are no right or wrong answers, and your responses will be treated with care and confidentiality. Please answer honestly and gently with yourself.

Please note: Time is a valuable asset for both you and Caroline, so please only complete this form if you are seriously considering investing in your future through a personal coaching or therapeutic relationship with Caroline.

Contact Details

First Name *

Last Name *

Phone *

Email *

Tell Us About You

What brings you here right now? *

What is your biggest obstacle in moving forward? *

How is this affecting your life, health, family, relationships, financial situation? *

What outcomes or changes would you love to experience from working together? *

How would you like your life to look different in the next 6-12 months? *

How committed are you to invest your time, energy and money into yourself & this journey right now? *

Is there anything else you’d like to share or ask?

I understand that this form is not a replacement for therapy or crisis support. I confirm that I am completing this form voluntarily and understand that Caroline will review the information to assess whether we’re a good fit to work together.

By checking this box, I agree to be contacted about booking a connection call and to receive other marketing material. Please note you can unsubscribe at any time.