What are the primary issues you are experiencing? *
Required
What have you tried to address these issues previously? How did that help? *
Your answer
Why do you feel called to work with me at this time? What about my approach appeals to you? *
Your answer
What is your desired outcome from our work together? What are the top 3 goals and/or results are you looking to achieve? *
Your answer
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? *
Not at all
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? *
Not at all
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
While I am trained and licensed as a Marriage & Family Therapist in the state of California, this work is not psychotherapy. This 1-1 work is coaching, mentorship and alternative energy work that can be a supplement or alternative to traditional therapy. I also do NOT work with you to achieve weight loss. Do you understand that this work is not intended as therapy nor to accomplish weight loss? *
Is there anything else that you'd like to me to know or to share with me? *
Your answer
Thank you for completing the application. Once you press "Submit," you will be added to the waitlist and contacted once an opening becomes available.
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