Mental Wellness Coaching Interest
Thank you for your interest in working with me on your Mental Wellness journey; I look forward to our sessions! To begin, I just need a few pieces of information and some options that work best for you. Please answer the following questions to the best of your ability.
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Email *
Name (If you have a preferred name please list that here) *
Phone number *
Is SMS texting okay? (This is for personalized messages and appointment reminders only--No Spam, I promise!) *
Are you interested in a one time session only or are you interested in setting up a schedule of meetings? *
Our sessions will be 50 minutes long and will take place virtually in the evenings on weekdays (after 6pm) or on the weekends between 9am and 7pm. Please select the day(s) that work best for you. (Select days that work best for you) *
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If you selected a weekday, what time slots works best for you? (Please select time based on Eastern Standard Time)
If you selected a weekend, what time slots works best for you? (Please select time based on Eastern Standard Time)
Mental Wellness Coaching is not suitable for those with extreme and pervasive mental health issues, but rather serves as a supplement to therapy. While the modality used with your coach will be a blend of therapeutic practices similar to therapy and that of life coaching, this is NOT equivalent to clinical mental health services. You are working with a Masters level clinician in training but are receiving coaching services not counseling services. Please check the box to indicate your consent to participate with coaching. *
What is your goal for our coaching session(s)?
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Where are you located? (City and State) *
How old are you? *
How did you hear about Mental Wellness Coaching with M.M.Dolcé ?
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Anything else you'd like me to know?
A copy of your responses will be emailed to the address you provided.
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