Thanks for the opportunity to work together

Please take a minute to schedule your kickoff call and fill out the required intake form


Schedule Our Kickoff Call

Please pick a date and time for our first call. Choose a time where you feel you can be consistent on a weekly basis. 



Fill Out the Client Intake Form

Your feedback will help me better understand how we will move forward. Anything you share with me is private and secure.

  • Date Format: MM slash DD slash YYYY
  • Include subjects, fields of study, or professional work that interests you
  • What professional field are you currently working in? What would you like to change?
  • List the three most important benefits you want to achieve
  • If yes, please explain
  • Are you currently taking medications pr substances? If yes, please list them.
  • Are you married or in a relationship? Have you been divorced? How many times?
  • Do you have children? How many? Have you lost a child? Are you currently pregnant? Do you want to have children?
  • Are your parents still married? Describe their relationship with each other. Describe your emotional relationship with them.
  • Are your family members still living? List them. Describe their attitude and issues, as you see them.
  • Please briefly share anything else that would be helpful to know about you, (i.e., recent life-changing events such as deaths, divorce, relationships, job changes, health issues, past trauma, accidents, etc.