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Are We a Good Fit for 1:1's?

Welcome friend! Let’s Find Out!!

Thanks for your interest. This short form helps us both make sure we’re a good match. I work best with people who are ready to grow, curious about change, and committed to the baby steps it takes to get there.

if you sign up to meet with me, I'll be in your corner 100% of the way.

1:1 video meetings are designed for clients who are ready to commit, show up consistently, and do the deep work of becoming who they want to be.

Full name?

Email address:

Phone

How did you hear about me?

How did you hear about me?
A
B
C
D
E
F

I am ready to begin making consistent changes with support from a real licensed counselor:

I am ready to begin making consistent changes with support from a real licensed counselor:
A
B

I am committed to weekly sessions, typically at the same time each week:

I am committed to weekly sessions, typically at the same time each week:
A
B

I am committed to taking small, consistent steps between sessions ... even if they feel uncomfortable or awkward at first?

Katharine offers a limited number of premium spots each week. I agree to schedule during available daytime hours. I understand meeting times are first come, first served:

Katharine offers a limited number of premium spots each week. I agree to schedule during available daytime hours. I understand meeting times are first come, first served:
A
B

Do you agree to determine the focus of sessions? (take ownership of your process)

Do you agree to determine the focus of sessions? (take ownership of your process)
A
B

I mainly want someone to validate what I already know about myself from TikTok or social media

I mainly want someone to validate what I already know about myself from TikTok or social media
A
B

What would you like to work on in counseling right now? (Even a vague idea is okay.)

I am seeking treatment for Eating Disorders, Erectile Dysfunction and/or ADHD:

I am seeking treatment for Eating Disorders, Erectile Dysfunction and/or ADHD:
A
B

I understand that Katharine can provide counseling to residents of Idaho and Texas, but if I reside outside of those states, I am signing up for coaching:

I understand that Katharine can provide counseling to residents of Idaho and Texas, but if I reside outside of those states, I am signing up for coaching:
A
B

What I am hoping a counselor/coach will do for me:

I understand Katharine's rate for 1:1 video meetings is $139 for 50 mins

I understand Katharine's rate for 1:1 video meetings is $139 for 50 mins
A
B