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Melissa Lloyd – Certified Life Coach
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More of My Story
Contact Melissa
Menu
Home
Shop
Blog
Unravel Info
Sign Up For An Unravel Group
Free Unravel Resources
Unravel by Melissa Lloyd
Start an Unravel Program
Unravel Leader Training
1:1 Coaching
About
Melissa Lloyd – Certified Life Coach
What I Believe
Kind Words
More of My Story
Contact Melissa
Get Started With 1:1 Coaching
Get Started With 1:1 Coaching
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In-Person or Online Coaching?
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In-Person – San Antonio, TX
Online – Microsoft Teams
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First & Last Name
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City & State
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Do you prefer that I reach out to you via text or email?
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Text
Email
Age Range
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18-25
26-34
35-44
45-54
55-62
63-70
Email
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Phone # – Text & Call
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How did you find out about me?
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Marital Status
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Married
Single
Divorced
Widowed
Engaged
Serious Dating Relationship
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Are you struggling with any of the following: (mark all that apply)
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People-pleasing
Perfectionism
Conflict Avoidance
Setting Boundaries
Saying No
Over-scheduling / Busy
Anxiety / Depression
Feeling Overwhelmed
Unable to make decisions
Healthy Relationships
Unforgiveness
Anger / Resentment
Feeling “not good enough”
Do you want to work 1:1 through Unravel with me?
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Yes, I do!
No, I want to work on other issues.
Maybe. I’m not sure yet.
What’s Unravel? Tell me more.
What are you hoping to accomplish while working together? What is not working in your life? What are you hoping to change about yourself or your life?
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When are You Available for 1:1 Coaching? (mark all that apply)
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Monday
Tuesday
Wednesday (mornings only)
Thursday
Friday
What time(s) are you available?
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Morning: 8AM – 11AM CST
Afternoon: 5PM – 7PM CST
Evening (limited): 7PM – 8PM CST
How often do you want to meet?
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Weekly
Every two weeks – most popular
Once a month
When do you want to get started?
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I charge $60/hour. Payment is due at time of session.
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I understand.
I do not accept insurance. Coaching is not covered under Flex Spending or Health Savings Accounts.
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I understand.
Payment methods accepted: Zelle (preferred), Venmo, or Cash
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I understand.
Session cancellations must be made with 24 hours notice or you will be charged the hourly fee.
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I understand.
Please be on time to your sessions to ensure you receive the full hour.
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I understand.
I am typically very quick to respond, but occasionally, technology fails and submissions get lost in cyber space. If you don't hear from me via email or text within 24 hours of submitting this form, please email me at melissa@melissalloyd.org or text me at 210.912.3685.
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I understand.
I will be on vacation with limited access to email from May 22nd – June 6th. I will respond to your 1:1 Coaching request on or just after June 7th.
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I understand.
Is there anything else that I need to know? Do you have any other questions?
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