Whole Heart: Attracting + Nurturing Authentic Love
Upon completion of this application, I will get back to you within 24 hours. If we are a good fit, I will send all of the details to get started.
Name *
First and last name
Email *
Phone number *
What has drawn you to this program? *
What do you hope to achieve during our work together?
Are you currently in a physically or emotionally abusive relationship?
Clear selection
If yes or maybe, please explain.
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?
Clear selection
Please elaborate if you wish.
What is your level of committment to working one-on-one for 12 weeks together?
Do you have any questions for me about this program?
Thank you so much for taking the time to apply - I will be in touch shortly!
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