Worksheet

Apply to work privately with Chalisa Morrison

Please fill out the form below to work privately with me to thrive in life and love. While I would love to be able to help every person in the world, this is simply not possible. Still, I do read each application carefully, and I personally reply to everyone who applies.

Know that I only take on a certain number of clients at any given time to ensure that I can provide a high level of comprehensive support to those individuals or couples.  If I can't support you immediately, that doesn't mean that I won't support you in the future.

Please know that your privacy is important to me and I will treat your confidential information with great care and respect.

Thanks for your patience - I look forward to supporting you.

1.

Date

2.

Name

3.

Email

4.

Phone

5.

Please tick whether you are applying as an individual or couple

6.

Partner's name - if applying as couple

7.

Partner's email - if applying as couple

8.

Please tick that you understand:

9.

Tick the relevant areas of support that best match what you are looking for:

10.

Please describe your top 5 challenges that your are currently experiencing:

11.

If you were to work with me, what would be an amazing outcome?

12.

Please tick your preferred appointment types

The biggest benefit of Online Zoom appointments is that sessions can be recorded for you to download; enabling you to refer back to the recording content for reference and to continue to develop the tools and practices we cover.

13.

Have you completed any of my online programs?

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If you have ticked 'yes' above, please tick which online programs you have completed / started:

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Are you willing to:

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Can you afford to work with me?

I charge $280 p/hour for one-off sessions and programs are charged from $220 /hr


17.

What sessions are you most interested in?

I prefer going on a transformational journey with clients and offer reduced rates for Programs (a series of sessions customised to clients needs and desired outcomes).


18.

Is their anything else you want to say?

19.

I would love to hear about how you heard about me and my work (if you can spare the time)