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30 minute consult with Chris M. Lyon

Fill out this brief form below so we can discuss where you are in life now, where you want to go, and if this program is a good fit all around. You’ll get helpful insights during your consult, so you may want to take notes.

Complete Your Consult Form Here.

Don’t worry about not being thorough enough. This is to get an idea of where you are at and what you want to work on and change. You can talk more about this with Chris.

Start

Question 1 of 8

Name

Preferred pronouns

Date of birth

Email address

Phone number

City/State/Country

Question 2 of 8

check the boxes that apply for the areas that you want results on:

(Select all that apply)
A

Relationships

B

Self Control

C

Purpose

D

Stress Management

E

Sleep Improvement

F

Interpersonal Skills

G

Optimism

H

Success and Achievement

I

Self-Confidence

J

Spirituality

K

Facilitate Wellness

L

Leadership

M

High Sensitivity

N

Healing From the Past

O

Creativity

P

Motivation

Q

Other

Question 3 of 8

If "Other" above, please describe:

Question 4 of 8

Why are you interested in this program?

Question 5 of 8

Are you willing to invest in and commit to a three-month program, and put the effort in for at least three to four hours a week?

A

Yes

B

No

Question 6 of 8

What are the top three things that have kept you blocked or from accomplishing the transformation or change that you want?

Question 7 of 8

Is there anything else that would be helpful for Chris to know?

Question 8 of 8

Name of person who referred you, if applicable: 

Confirm and Submit