Thank you for your interest in working with Shannon and Simplify Space & Soul! Fill out the application as a first step to working with Shannon. By completing this application, you’re not committing to anything, just opening the conversation to working together. Please fill it out to the best of your ability!

Name *

First Name

Last Name

Email *

Phone

(###)

###

####

What is your preferred form of communication? *

What time zone are you located in? *

How did you hear about me? *

What are the primary areas you are looking for support with? Check all that apply. *

Productivity

Organizing/ decluttering

Movement, meditation, and/or breathwork

Virtual Assistance

ADHD/ Neurodiversity Support

Tell me a little bit about yourself. Anything you feel would be relevant to share. *

What do you envision for yourself in the next 6 months to a year? *

What kind of support would you like to explore? Be specific - what would be helpful to meet your goals? *

Everyone grows in different ways. What type of support would be the most helpful for you at this stage? Check all that apply. *

Weekly 1:1 calls

Occasional 1:1 calls (2-3x/ month)

Face to face support (if local)

Communication via text or messaging app

Prompts and templates when relevant

Group calls

I only work one on one with a few people per month. The starting rate (depending on the boxes check above) is $500. Please check "yes" if you understand and would like to move forward. *

Yes

Thank you!

Thank you for completing this form! I’ll be in touch soon!

914.559.8137 | shannon@simplifyspaceandsoul.com

Providing in-person services to Westchester County, NY, Wilmington, NC, and surrounding areas, with virtual options available anywhere.

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