Assessment Questionnaire
Email address *
Name *
Your answer
Phone Number *
Your answer
Which service are you most interested in? *
What is your definition of accountability? *
Your answer
On a scale of 1-10, how well do you handle your emotions? *
I need major help with emotional regulation
Very little bothers me and I am in control of my emotions at all times
What is the importance of having a therapist/coach in your life right now? *
Your answer
Describe the best version of yourself. *
Your answer
Are you looking to work with Vasavi 1:1? *
If you answered 'YES,' please schedule initial call with Vasavi by clicking
Your answer
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