Houston Singles Life Coaching

Please fill out the form with as much information as you would like to share.

Name *
Personal success, professional success, relationship success
Personal purpose, professional purpose
Easy/Hard? Comfortable/Uncomfortable?
Self talk is positive or negative?, Planning for dates and practicing date skills between dates
Please describe your self-care goals, and desires to make changes to these goals.
Written goals, Procrastination/Focus, accountability system
Checkbox *
I hereby release, waive, acquit, and forever discharge Michelle Shahbazyan and Houston Singles from every clain, suit, action, or demand or right to compensation for damages I may claim to have or that I may have arising out of actions, omissions, or commissions taken by myself as a result of the advice given by Michelle Shahbazyan or otherwise resulting from the coaching relationship contemplated hereunder. I also understand that a Life Coaching session is not a substitute for a mental health appointment.
Date *