ProsperiTea Planning Prospective People

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We work quite closely with people and are careful not to grow too fast. We are currently accepting a limited number of new people if they are good fits for our practice. Please tell us a bit more about you. All your answers will be confidential. (See our Privacy Policy). We'll read this and get back in touch with you soon.

Email *

First Name *

Last Name *

If you're married or have a partner, please give us their name.

What's your preferred phone number? *

Which is your preferred method for us to contact you? (Check all that apply) *

Phone

Text

Text not preferred, but ok to text reminder calls, etc.

Other:

Required

What is your approximate birthday? (Feel free to fudge the month/date, but we'd like the year.) *

YYYY

Where do you work/live? *

Would you prefer to meet in person or over the internet? *

In-Person

Zoom

Combination of both

Required

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This form was created inside of ProsperiTea Planning.