What are the primary issues you are experiencing? *
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What is your desired outcome from our work together? What are the top 3 goals and/or results are you looking to achieve? *
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On a scale of 1-10, where 1 is "not at all" and 10 is "completely," how committed are you to do the work necessary to achieve your goals and desired outcomes? *
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Completely
On a scale of 1-10, where 1 is "not at all" and 10 is "completely," how open are you to receiving support, being coached, and learning alternative modalities to help you succeed and achieve these goals? *
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Completely
On a scale of 1-10, where 1 is "not at all" and 10 is "completely," how willing are you to invest (time, money and energy) in yourself and work to help you feel your best and achieve your desired outcomes? *
Not at all
Completely
Why do you feel called to work with me at this time? *
Your answer
Thank you for sharing with me! Once you press "Submit," you will be added to the waitlist and contacted once an opening becomes available in my schedule.
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