1:1 Session Booking Form

First name

Last name

Phone

Country

Time Zone

Age

1. What brings you here today?

2. Which areas are you currently struggling with?

(Select all that apply.)

3. What would you most like to be different six months from now?

4. What have you already tried?

Examples:

Doctor or specialist

Hormone therapy

Supplements

Lifestyle changes

Therapy

Coaching

Nothing yet

5. What do you feel is your biggest obstacle right now?

6. What made you choose Shari?

7. Coaching works best when clients are willing to make meaningful changes.

8. What kind of support are you hoping to receive?

9. Is there anything important you'd like Shari to know before speaking with you?

10. Have you worked with a coach before?

If yes, what was helpful (or not)?

11. Are you currently under the care of a physician or other healthcare professional for menopause or related health concerns?

12. How did you hear about Shari?