Application to work with Wendy Baldwin
Thank you for taking the time to contact me. I wish I could work with everyone but that's not humanly possible. Please take a few moments and answer the following questions. This will help both of us see if we're a good match or not. Your answers are kept strictly confidential. I am the only who will see your responses. You will be notified by email as soon as I review your application. If for some reason you do not hear from me within 24 hrs. please email me at
Email address *
First and Last name *
Your answer
Email *
Your answer
Re -enter your email *
Your answer
Phone number and location
Your answer
Assessment for positive life changes:
It's easy to say that you're ready and open for change. It's another story to take action. How ready are you? Be sure and answer every question. Thank you!
My BIGGEST concern that I am tired of tolerating is... *
Your answer
I have struggled with this for...(how long) *
Your answer
What I have tried to solve this problem that did NOT work... *
Your answer
My life will be different in this way once this issue is resolved...
I will be___________ once this problem is no longer in my life... *
Your answer
On a scale of 0 - 10, with 0 = not at all and 10 = absolutely...I rate myself as a ______ in readiness to let go of old destructive habits and beliefs *
I am willing to invest in myself *
I am seeking help through... *
A copy of your responses will be emailed to the address you provided.
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