Welcome!
I am thankful for your interest in starting a partnership with me. Please answer the following questions.

We start with your personal information* & preferences regarding the sessions. Then you will help me know you and your goals better. Write as much as you feel comfortable.

In 2 (two) business days, I will let you know if I can help you or not.

Warmly,
Madi

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*The personal information is just for ease in communication. I won't share it to third parties.

Name *
Your answer
Email address *
Your answer
What do you want to get out of our sessions? *
Your answer
How will you get the most out of our partnership?
Your answer
What criteria will you use to evaluate your investment (time, energy, and money) in these sessions?
Your answer
How can I support you the best?
Choose your favourite method.
Describe your "dream relationship" (with yourself and others)
Your answer
What do you want to happen in your life and in your relationship(s) so that you consider it (them) satisfying? *
Your answer
Describe your support system. Do you have people in your life who believe in you, encourage you, challenge you and see you through the hard times?
Your answer
How are you your own worst enemy?
Your answer
What strategies do you have for dealing with your inner critic?
Your answer
What happens for you when things don't work out as expected? How do you want me to be with that? *
Your answer
What has been your most thrilling success or proudest achievement in your relationship(s)?
Your answer
What activities have meaning for you and help you recharge?
Your answer
Who/what inspires you?
Your answer
What are three things you have been procrastinating on in your relationship(s) or life?
Your answer
What is the greatest personal change you'd like to see in the near future? *
Your answer
What else would you like me to know about you?
Your answer
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