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The Habit Reset Application Form

Thank you for taking the time to apply to work with me. I take on a limited number of clients and I’m selective about who I work with - not because I think I’m too good for anyone, but because I want to make sure I can genuinely help you, and that you’re in the right place to get the most from this.

Please answer as openly and honestly as you can. There are no right answers. The more you share, the better I can assess whether we’re a good fit - and whether now is the right time for you.

This takes around 15 minutes to complete. Questions marked * are required.