Interest Intake
Hi & Thank you for your interest in working with me.  Please be as honest as possible as it will assist me in the selection process.  Your answers are confidential and will not be shared with anyone.
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Email *
Preferred Name
Phone number *
What are you looking for assistance with?  Life & Home, Business or Both? *
What is your availability for sessions? (days of the week & times)
How frequently are you available to meet?
Clear selection
where do you prefer to meet?
Clear selection
What is your minimum overall commitment?
Clear selection
Why do you want to participate? What are you hoping to gain from the experience?
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