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Application to Work with Dr. Louise
Once you fill out this form, Dr. Louise will take a look. If she determines that it is a good fit, then she will email you a link to schedule a complementary zoom call!
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Email
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Your email
Name and Email
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Your answer
How did you find out about Dr. Louise's work?
Your answer
Why are you interested in working on cycle breaking at this moment? And what are your short-term goals?
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Your answer
Why now? What is happening in this moment that motivated you to reach out?
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Your answer
Describe your current support structure. Are you working with any other professionals? Do you have any friends or loved ones that are helping your efforts?
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Your answer
Why are you interested in working with Dr. Louise in particular?
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Your answer
What package are you interested in?
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4 sessions with one payment of $1200 USD
4 sessions with two monthly payments $620 USD
3 months unlimited with one payment of $3000 USD
3 months unlimited with three monthly payments of $1030 USD
I'd like to chat with you before I decide
Is it okay for Dr. Louise to contact you after reviewing your application?
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