For high-achieving women of color ready to rise to their next level

Due to limited space, Mel Cyrise works only with a small number of clients. Please answer thoughtfully — your responses are 100% confidential and will help us see if this is the right fit.

1. What inspired you to reach out right now, and why do you feel called to work with Mel Cyrise specifically?

This is your moment to be real — what’s calling you forward, and what about Mel Cyrise’s message resonates with you?

2. What are the top 1–3 challenges or struggles you’re currently facing — internally or externally?

Answer with honesty — this helps us understand what kind of support you truly need

3. What is your current profession or business?

Tell us what you do for your work, and any other background information.

4. Fill in the blanks: On the outside, people may see you as (a)_______, but on the inside you often feel (b)_______.

Be as real and vulnerable as you’d like — this space is fully confidential.

5. What areas of your life do you most want to elevate, heal, or transform through this coaching experience? Choose all that apply — this helps us understand what matters most to you.

6. Are there any past experiences, traumas, or emotional wounds you feel are important for Mel Cyrise to know about as she holds space for you?

This space is sacred and 100% confidential. Only share what you feel ready to.

7. How did you hear about Mel Cyrise and her coaching work?

Instagram

Referral

Podcast

Event or Workshop

We love to know where powerful women are finding this work.

8. Have you invested in personal growth or coaching before?

Yes, I’ve worked with a coach before

Yes, I’ve done other personal growth work (retreats, therapy, programs, etc.)

Not yet

There’s no wrong answer — this gives us context for where you’re at on your journey.

9. Are you emotionally and financially ready to invest in a high-level coaching container?

Yes, I’m ready to invest in myself and I have the financial resources to do so.

I don’t have all the resources, but I’m committed to finding a way.

I’m not ready at this time

This is a high-level container designed for deep transformation. Your clarity helps us both.

10. Your Full Name *

So we know who’s reaching out.

11. Your Email Address *

So we can reach out to connect further.

Your Instagram Handle

Optional, but it helps us get to know you better.

By checking this box, I agree to the privacy policy and terms and conditions of Mel Cyrise. I also agree to receive occasional text messages and emails from Mel Cyrise. I understand I may opt-out at any time by replying STOP. Message & data rates may apply.