Adult Attachment Interview (AAI) Client Intake Form - The AAI is only recommended for people who are committed to exploring and fixing their attachment conditioning.  It is expensive and time consuming.  Often, it is best to get going with attachment repair first to see if this work is a good fit.
Fill out this form if you are interested in taking the AAI.  Please select which options are of interest to you.

Sign in to Google to save your progress. Learn more
Email *
Name *
Please select the options that you are interested in.
Clear selection
In a sentence or two why are you interested in attachment repair?
What do I need to know about you that will help me guide you best and help you feel comfortable and at ease?
What time zone are you in?
What days of the week and times of day generally work best for you? - Select all that apply.
I understand that Cedric Reeves is a meditation instructor and not a therapist, psychotherapist, counselor, psychologist, or psychiatrist.   *
I understand that taking the AAI is not psychotherapy. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy