Let’s work together

Interested in working together? Fill out some info and I will be in touch shortly! I can't wait to hear from you!

Email
jeanette.fultz@gmail.com

Phone
(518) 229-9149

Location
Online & Saratoga Springs, NY

First Contact

The first step to working together is to set up a Discovery Call. Here we will find out if we are a good match for this beautiful deep work together.

If you want me to know more about you to prepare for the discovery call, please fill out the intake form below this form.

Name

First Name

Last Name

Phone

(###)

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Message

Intake Form

Thank you for taking this journey of awakening with me. Everything shared will be honored and kept confidential. I am so excited to share this beautiful work with you!

Name

First Name

Last Name

Phone

(###)

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Occupation

Age

What do you desire to receive from our work together? What goals do you have?

Have you worked with a coach, therapist, counselor before?

Is there any mental health issues that I need to know about? Any past treatment?

What are 3 things you want to move through/release/transform in our time together?

Please share your biggest strengths.

What are your biggest challenges in your life right now?

What is your experience with meditation? Visualization? Breathwork? Energywork?

What can I do to make you feel safe and supported in our time together?

Is there anything else you want me to know about?

What days and times work best for setting up appointments?