Let's get to know each other!

Thank you for putting yourself on my calendar for a conversation! I'm excited to speak with you. Please take a moment at least 24 hours before our call to answer a few questions.

Name

First Name

Last Name

Phone Number

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Email Address

Website (if you have one)

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What inspired you to reach out to me?

What would you like to take away from this conversation?

What challenges are you facing at this time?

Are you interested in working with me? Check all that apply.

Yes! I am interested in 6 months of one-on-one support and mentorship!

Yes! I am interested in a specific training or retreat that you offer! (Please list below.)

Yes! But I'm not sure what type of support is right for me.

No, thank you.

I don't know (please explain below).

Anything else that you would like me to know about you?

Michelle Hawk Shaman Healer Mentor Alchemy Portland