New Client Form

Name

First Name

Last Name

Email

Tell me a bit about who you are.

Where are you in life that brings you here?

The work we do together requires you to be very introspective and take action. Are you ready for that?

What support system(s) or supportive people / communities do you have in your life?

Tell me about an accomplishment in your life of which you are very proud.

What do you need in order to feel seen, heard or supported?

Is there anything else you want to share with me before we talk?

NEW CLIENT FORM