Mom-ME Circle

A Mother's Empowered Community

“The road to your destiny starts right here. All you need to do is take the first step. Then the next. Just focus. Just breathe. Just begin.” -Anonymous.

Welcome to the first step to change and taking action toward creating your life the way you really want it. I am fiercely devoted to you REALLY living and loving your life. This assessment will help us both connect to your deepest desires and consciously call out any blocks that are keeping you from having what you want. It’s also going to help you get really clear about what you want.

What could be better than that?

Please fill out the information below, it will be essential to receiving results from our coaching relationship.

Your life is made up of approximately 120 waking hours per week. What you do with these hours is your life. In this assessment you will explore in detail how you have been spending your life. Later, in this assessment you will look into what else you could be up to and discover your true desires.

Please take your time to fill this out completely and honestly. Even if you don’t have what you feel would be the best answer to the question, please answer EVERY question to the best of your ability. YOU MUST COMPLETE AND RETURN BEFORE YOUR FIRST COACHING SESSION

DISCOVERY 1: YOUR LIFE FOCUS

Name *
Name
Address
Address
Birthday
Birthday

DISCOVERY 1: YOUR LIFE FOCUS

CONGRATULATIONS, YOU’RE DONE

Now you are ready to take the driver’s seat and I’m here to support you with every turn of the wheel.

Put the pedal to the metal baby, it’s your turn!