Hello there, interesting person.
I made you a form. It'll take you about 10 minutes to fill out.
Pssst. The entire thing can be filled out using ONLY your keyboard. Cool, right?
(Aren't you tired of boring forms??)
Say hello
What's your first name, stranger? *

Mine's Melissa.
(My second name is Nathalia, which I feel is much nicer)
What are the main topics you would like to chat to me about, {{answer_23328752}}? *

Think of this as the subject field in an email.
But already filled out for you. It includes all my packages - and then some.
If you don't know what any of this means, have a look here: http://melissadeblok.com/you/

Do tell me more. *

Please give as much detail, so that I can help you efficiently.

(PS:  I love reading long letters, so don't worry about rambling - as long as you use paragraphs.)
What is the biggest problem you'd like me to solve? *

I love detail!
(I also love paragraphs)
Tell me a little bit about yourself. *

What do you do?  What are your dreams?  What are you struggling with?  What projects are you currently excited about? How do you feel about yourself, your body, your looks, your general level of success/progress?

Really, anything goes.  Tell me what you think is relevant (nothing truly is irrelevant in this part).
It's important for me to connect with my clients.
Everything said to me remains confidential.
How are you feeling today, {{answer_23328752}}? *

Check all that apply

What could improve your previous answer? *

What could you do to feel better?
More importantly, what could *I* do?
I believe in doing things with purpose, so I prefer to create work that will add value to a person's life.
How can our work together add more joy in your life?
If I told you that you could achieve your biggest goals in the span of a year, what would your response be - and why? *

And just to end this with a positive note: What's the biggest personal goal you are working on this year? *

Is there some way that my work could help you get closer to this goal? *

Thank you for contacting me, {{answer_23328752}}.  I - or my assistant Ashyana - will be in touch within 48 hours.
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