Welcome. I am so thrilled you have chosen this gift of healing for yourself.  This first session is all about figuring out what filters and programs you are running in your life that are keeping you stuck in your problem so that by the time you leave you'll know exactly what you need to do to move forward.

And that's exciting, right?

In preparation for our time together, please complete the form below so I can learn more about you and your goals.
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PLEASE NOTE: Everything you share here is private and confidential. Please share openly and freely.
First, a little bit about yourself:
How did you hear about me? Is there someone I can thank for the referral?
 
What is the goal you want to achieve but are struggling with?
When it comes to achieving your goal, what are your biggest challenges?
 
On a scale of 0-10, how important is it to get rid of this problem once and for all?
On a scale of 0-10, how BIG a problem is this for you right now?
What have you tried in the past that didn't work?
 
Where would you like to be in 12 months?
Are you currently working with a Coach? Have you had coaching in the past and if so, how did it work for you?

Can you think of any other obstacles that may keep you from engaging in a transformational & accelerated coaching program at this time?

Are you currently under the care of a medical/mental health care professional?
Please list any medications/vitamins/supplements you are currently taking
Have you ever been diagnosed with any of the following?
 
Do you have difficulty with any of the following?
 
What are sources of stress for you?
Have you ever been hypnotized before?
 
If you answered 'Yes' to the above question, please share under what circumstances you have been hypnotized and what were the results
Is there anything else you think I need to know in order to be able to support you on your journey?