Elemental Coaching Form

Welcome

Thank you for your interest in our elemental coaching. This is a safe space for you to share openly. There are no right or wrong answers. Your responses will help us to understand where you are on your journey and how we can best support you.

Name *

First

Last

Email *

Phone *

Age *

Time Zone you are located in

What inspired you to seek support at this time? *

What areas of your life seem out of balance?

Have you done any type of coaching/ personal development work before?

What is your intention for our time together? *

If you do not have an intention that is fine too; some people find they are guided to elemental living by unknown forces.

Specifically, what called you into elemental coaching/living?

Elemental Coaching requires a commitment to your personal growth. Are you willing to engage with the practices between sessions? *

Do you have an established connection with nature? Please describe if you are called. *

Do you have a connection to a power greater than yourself?

• Yes
• No
• Maybe
• Other

If you answered other above, please explain here

How would you describe your natural approach to life? * *

• Mostly through logic and practical thinking
• A balance of logic and intuition
• Mostly through intuition, inner knowing, or spirituality
• Other

an answered before?

If you answered other above, please explain here

How familiar are you with elemental teachings/living?

Selected Value: 1

1 is a curious beginner. 5 is an advanced practitioner.

Who do you feel called to work with? *

• I want to work with Sarah!
• I want to work with Sydney!
• Align me with the right person!

Is there anything else you would like us to know prior to your coaching session?

Which Session Package would you like?

• Elemental Evaluation - $150.00
• Individual Integration Session - $108.00
• 3-Session Package - $333.00
• 6-Session Package - $555.00

Stripe Credit Card *

Submit