Complimentary Consultation Call
In our call, we will discuss your concerns and goals, and I'll provide you a working strategy in therapy to resolve your problems.
Please relax.. and make sure you are in a space where you can think through and fill the form with as much detail as you can. This would take about 10-15 mins.
Name *
Date of birth *
Email *
Phone number (with country code) *
Relationship status *
Profession/job *
City and country *
How did you know about me (Ruchika Garg)? *
1. What are the areas you would like to explore during your Therapy journey? (For example, problems you would like to solve or heal, any goals you desire or outcomes you want). *
2. What are the 3 most important changes you would like to make in your life? *
3. What prevents you from making these changes? *
4. What have you done so far to solve the problem or reach the goal or outcome? What has worked and what has not worked? *
5. How will you know you have made these changes? *
6. What are the priorities you would like to focus on during your journey? (List top 3 in order) *
7. What are your expectations from your me as your therapist? *
8. On a scale of 1 to 10 how committed are you to achieving the results and changes you desire? (10 being fully committed, 1 being not at all). *
Not at all committed
Fully committed
9. What would you lose if you did not work towards these problems/goals?
10. Any other information: (For example, information from medical professionals, healthcare specialists, psychiatrists).
11.  Are you able to invest your time and financial resources in therapy?  I offer monthly and long-term 1:1 therapy programs and I'm committed to offering the best of interventions customized to your needs. *
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