STEP1 of 2: Complete This Intake Form

Intake Form For

Please Answer The Following Questions Before Our Session

By answering these questions in the most detail possible you will save time and money. And you'll get a lot more out of our session. If you get overwhelmed as you work your way through them please pause and breathe.

Take your time.

This information is confidential. It will never be shared or sold and is protected by encryption system. I will also delete it any time you request it.