Let’s Start With Where You Are

These questions are here to help Cynthia understand a little about what you’re navigating. You don’t need perfect answers. Just share what comes to mind.

Website

About You

First Name*

Last Name

Email Address*

Phone Number

Preferred way to reach you

EmailPhoneEither works

What’s Changing?

What brings you here right now?*

What kind of change are you navigating? (select all that apply)

Career changeRetirementRelocationDivorce or relationship changeEmpty nest or family transitionLoss or unexpected life changeIdentity or purposeBuilding confidenceFeeling stuckPersonal growthSomething else

Where You Are Now

What feels hardest about this change right now?*

How long has this been on your mind?

It's very recentA few monthsAbout a yearMore than a yearI'm not sure

What are you finding yourself thinking about most?

Where You Want to Go

What would you like to feel clearer or more confident about?*

If things began moving in the right direction, what would feel different?*

Readiness

How ready do you feel to make a change?

I’m still figuring it outI’m ready to move

Previous Support

Have you worked with a coach before?

YesNo

Why Now?

What made now feel like the right time to reach out?*

Anything Else

Is there anything else you'd like Cynthia to know before your conversation?