Contact Us (Free Intake)

Name*

Last name*

Your email*

Names of RSVP*

City/State*

What are you primary goals for seeking coaching?*

Have you worked with a coach or therapist prior? If so, what was helpful or not helpful about the experience? *

What emotional or life challenges are you facing?*

If we work together, what do you hope to gain or shift in your life in the months to come? *

On a scale 1-10, how ready do you feel to do the inner work and commit to yourself? *

How did you hear about ISSA Rebirth? *

Kenisha Miller, Life Coach