First Name *

Last Name *

Email *

Phone *

Address *

What time zone do you live in? *

What programs are you interested in? (check all that apply)* *

Personal coaching/consulting with Dr. Erin

Retreats

Group coaching programs

Lavish Society

Where do you desire to experience a change, shift, or transformation in your life? *

What have you done previously to address this issue? *

What is happening in your life that makes you feel like now is the right time to work with me? *

What kinds of personal or spiritual growth programs or retreats have you done? *

What changed in your life as a result of that work? *

How do you behave when you are struggling? *

On a scale of 1-10 (10 being the highest), how committed are you to investing emotionally, energetically, financially, and with your time? *

Is there anything else you would like to share with me ahead of our call? *