Thank you for your interest in scheduling a Clarity Coaching Session!

After we receive your responses, we'll email you to set up your initial coaching session.

Please let us know if you have difficulty filling out this form by emailing

Clarity Coaching Intake Form

  • Direction for next section:

    Meaningful work doesn’t just meet tangible goals measured in quantifiable ways, such as paying one’s bills, hitting a sales goal or making a profit. It’s also driven by fulfilling your own unique set of criteria for success and achievement. This could look like a flexible schedule, regular vacations, resources to share with the community and/or the capacity to create new jobs. * The words “success” and “achievement” can be based on any criteria you believe to be important.
  • COVID-19

  • If nothing significant has changed, feel free to leave this section blank. If relevant, please rank these impacts for their significance to your business, whether short- or long-term.
  • Lost revenue or opportunity

  • Gained revenue or opportunity

  • If everything goes as you hope it will:

  • This could be staffing, time, equipment, marketing, new competitors, lack of training or resources you need, issues with confidence...anything that isn't working the way you want it to!
  • Price: $250.00
    The initial session fee is due prior to your session.
  • $0.00
  • Thank you!

    Thank you for taking the time to reply to these questions! You'll receive a copy of your submission via email as well as a confirmation of your registration. NOTE: Should your plans change, session registrations are not transferable nor are they eligible for refunds.