Whole Heart: Attracting + Nurturing Authentic Love
Upon completion of this short application, I will email you within 24 hours to let you know if we are a match. If so, I will send all of the sign-up details then. I look forward to working together to create huge transformational shifts in your life!
Name *
First and last name
Your answer
Email *
Your answer
Phone number *
Your answer
What has drawn you to the Whole Heart program? *
Your answer
What do you hope to achieve during our work together?
Your answer
Are you currently in a physically or emotionally abusive relationship?
If yes or maybe, please explain.
Your answer
Are you dealing with certain issues (such as intense trauma, clinicial levels of depression/anxiety, etc.) that may make traditional psychotherapy a better fit for you at this time?
Please elaborate if you wish.
Your answer
What is your level of committment to working one-on-one for 12 weeks together?
Your answer
Do you have any questions for me about this program?
Your answer
Thank you so much for taking the time to apply - I will be in touch shortly!
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