Apply For 15 Minute Consultation
Hi! Fill out the application below before booking the 15 minute consultation for free.

Once the application is filled out, I will get in touch with you to set up a 15 minute consultation through Google Video. 

You will get a link to schedule your day and time that works for you.

On the call, we will discuss your main concerns, identify any barriers that may be preventing you from experiencing what you desire, and we will create a plan to reach them. I'll answer any questions you have. 

Applicants will be contacted in the order their submission is received.

If I feel that we may not be a good fit, I will provide referrals to other providers that can help you. 

Take care and we'll be in touch soon!

Albania Alegria, LMFT, SEP

Email *
I am aware that the free 15 minute consultation is on Google Video and a chance to get to know Albania and her services, and not a free therapy session.  *
Required
What service are you interested in? *
Required
I am aware that sessions are private pay ($220 each) and Albania is not accepting insurance clients at this time. A superbill maybe provided, but I am responsible for checking with my insurance before engaging in sessions with Albania.  *
Required
What is your full name? *
What is your email? *
Phone Number (best number to reach you at and leave a voicemail and text)? *
What is your age? *

What is the primary issue you're struggling with most right now? 

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How is this issue negatively impacting your life right now? 

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What (if anything) have you tried so far to address this issue? 

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What was missing from other solutions you have seen or tried? 

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How long has this been a problem for you? 

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What do you think has prevented you from solving this problem so far? 

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What would be your ideal outcome from working with me? 

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Have you worked with a coach or therapist before? 

If so, how was that experience? What worked and didn't work for you?
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How did you hear about Holistika Embodiment? *
Why did you specifically choose to reach out to Albania for support? *
Do you have any medical conditions? *
Have you been hospitalized before for a mental health condition? (write n/a) if a no.). *
Do you currently and have you in the past, used any substances or drugs? Any history of addiction in your life or family? If yes, please explain. *
The work we do requires for you to show up consistently, emotionally, physically, spiritually, and financially, by being patient, compassionate, and taking aligned action outside of our work together. 

Are you ready to commit to yourself?
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To maximize the benefit you receive from our call, do you commit to showing up to the call on time, in distraction-free environment? I only recommend sessions in the comfort of your own home in order to get the best results from the session. I will give a 10 minute grace period before ending the call if you don't show up. *
Is there any additional information, you feel is important for me to know?
Submit
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