Hello!

Thank you so much for reaching out about the possibility of working together.

This form is meant to help me gather as much information as possible about you - so that when we do meet, we can get straight to what you need and we can start crafting solutions together.

In all my years with clients, I have found that having this information ahead of time helps me to create a plan of communication and to help prioritize what we're working on together.

Traditionally, this would be provided as a paper form when we first meet, but I believe in meeting you where you are and allowing you the space to gather your thoughts. This form is mobile-friendly and you can complete it wherever is most convenient for you: on your cell, on your tablet, on your computer, in line at the coffee shop or sitting on your sofa with some hot tea. The most important thing to me is that you are completely honest and know that you're taking a major step right now. I am so proud of you already.

If at any point, you need to take a break, please do so. Take care of yourself when completing this. And, if you want your answers to auto-save, make sure you're logged into a Google/Gmail account when you access this form.

I have set up this form to automatically pull your email address; you will also automatically receive a copy of your responses, so please choose an email account that is CONFIDENTIAL and PRIVATE. Please do NOT use a work email or a shared email with a family member or spouse. Please use a private email, so that we can maintain confidentiality.

This form will take you approximately 30 to 45 minutes; please set aside time to fill it out without interruptions.

I am here if you have any questions. If so, please email me at hello@jamielynnmayberry.com.

See you soon,
Jamie Mayberry Johnson, LCSW


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