Preliminary consult information
Use this brief form to determine if my approach is for you. I use this form to help me determine if
it might benefit you. I will be in touch via text shortly after you complete the form. Thank you!

This form does not collect your email address nor store your information with a third party. Please
provide your first and last initials if you do not wish to provide your full name yet. This form is
secure and is assigned a unique code for each respondent, guaranteeing your privacy.

Somatic Science™ is a dialog-based  neurocognitive approach that is clinically proven to support
nervous system regulation. When appropriate, I use Somatic Experiencing©, the gold-standard trauma
resolution model used successfully around the world. I also help teach this to qualified therapists
world-wide.

If you wish to have a complimentary 20 minute consult to find out our mutual fitness for working together, you must make a $30 refundable deposit via Zelle or Venmo. Once your consult is over, I will refund this deposit. This is required due to increased ghost appointments made by chatbots. I will text you the deposit information once you complete this questionnaire.

The fee for a standard 50-minute consult is $160. The fee for a long 80 minute consult is $180. I offer a sliding
scale if your income is <$74,000 in the USA, or <$62,000 elsewhere. You must provide proof of income to take advantage of this option.

SE© students qualify for reduced rates, I am approved to provide individual consults for all levels in North America.

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