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Contact me

I appreciate your interest in Spark Back Coaching!

To help me better understand your needs and tailor my coaching services to support your personal and professional growth, please complete the form below. With this information, I will reach out to you to schedule an intake call.

Your responses will provide valuable insights into your goals, challenges, and preferences, ensuring that our first interaction is as productive and focused as possible.

All information you provide here will be handled with confidentiality.

Personal information

Coaching Needs

What are the main areas you want to focus on?
Have you worked with a coach before?

Additional Information


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