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Intake Form
I'm so glad you're here! I know your life is busy so I'm thankful you made some space to take care of yourself and lean into what God has for you in this season of life!

The reality is you can't give your family what you don't have. So let's get started on embracing boundaries, transforming your mindset, and living out who God says you are, so you can start living in freedom and flourish!

Together we will work through the change you desire using cognitive approaches, God's word and prayer!

By answering this brief form below it will help me steward our session time wisely. Once I receive this form I will reach out to you. Please note that your session is confirmed when the payment is made. If you have any questions feel free to reach out to me at mariiposa@yahoo.com and send me an email with Coaching Session in the subject line. Looking forward to hearing from you.
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Name *
Preferred email for communication: *
Preferred format for coaching sessions: *
Share several days and times that work for you for our sessions and I'll do my best to find a time that best fits. *
What led you to book this coaching session? What do want to focus on?
What one thing are you wanting to change? 
In what ways do you feel stuck in this area? What have you already tried?
Is there anything about your life you feel would be important for me to know? Feel free to share about your past or present life circumstances.
Are you currently in counseling or therapy or have been in the past? *
Do you have a mental health diagnosis that I should be aware of? *
You don't have to do it alone!
I'm honored to walk alongside of you in this season of life. I'm excited to see all God will do through you and in you. I'm praying for you and our session times!
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