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Private Consultation Application
(Secure and private)
Full Name
*
Email Address
*
What do you do (professionally)?
*
Why are you seeking private emotional strategy now?
*
What have you already tried that hasn’t worked?
*
What are you afraid I might say to you
?
*
What outcome would make you feel this was worth it?
*
I work with a limited number of clients and offer no discounts. Are you financially and emotionally ready to invest at a premium level?
*
I work with a limited number of clients and offer no discounts. Are you financially and emotionally ready to invest at a premium level?
A
Yes
B
No
How soon are you looking to begin?
*
How soon are you looking to begin?
A
Immediately
B
Within 2 weeks
C
Just exploring (if you're just exploring, we probably won’t work together)
Anything else you want to say before I respond?
*
If accepted, you’ll be invited to book your sessions with Confidentiality & NDA Agreement
*
Signature
Submit
