clarity call form

all information shared is strictly confidential

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone number

Occupation

What are the 3 top challenges that you would like help with?

What 3 things do you specifically want to achieve? Describe your goals.

Why do you want this? What would it mean to achieve it?

Why now? What prompted you to reach out?

Is this a matter of urgency or priority? If so why?

How committed are you to do what it takes to reach your goals in an authentic way? 1 = not at all and 10 = this is my top priority and I am ready to go.

Please be honest with yourself and know that all answers are welcome.

Do you have the finances to invest in yourself now? 0 = I am not sure to invest in myself yet. 10 = I have the finances to invest in myself and ready to start ASAP.

How would you rate your stress level from 1-10? 1 = no stress and 10 = the highest.

Are you currently being treated for any mental, medical or health issues now?

Are you taking medication or major supplements? If yes, please list names and what they are for.

Have you ever, or are you currently seeing a therapist, psychiatrist or coach, etc? If so how is/was that experience for you?

Is there anything else you like to share with me that you think is important or helpful?

How did you find me?

When are you available for a call? I see clients around the world via Zoom during 10.00 -17.30 BST/GMT. Monday evenings are available bi-monthly.

Nat van Zee helps I help high achievers and soul seekers take back their power, peace and self-belief so they’re happy, find love and fulfil their mission

Most Innovative Burnout Coach

UK Enterprise Awards

Best Trauma-Informed Coach & Hypnotherapist GHP Mental Health Awards

The Breakthrough Program is a customised graduate program designed to self heal and clear the root cause of blocks so you can create a soul-fulfilling life. Click for client results.

Click for 5* Google Reviews

Nat is a certified coach at the Institute of Coaching Mastery (ICM is accredited by the International Coaching Federation)

Download our free Tips To Calm Your Nerves guide or watch our workshop Shift Overwhelm or coaching demo How To Overcome Fear

For inquiries, email hello@vanzeebeing.com

clarity call form

about media terms

online virtual services worldwide

london’s most innovative burnout coach

london’s best trauma-informed coach & hypnotherapist