Initial Intake for One on One Consultations
Help us understand your needs for support, so that we can match you with a Holistic Family Consultant who will be a good fit for you, based on your time zone, financial means, and what you hope to accomplish.
Email address *
Your name *
Names and ages of all family members *
What is your timezone? *
What times of day/days of the week are you most available to meet with your Holistic Family Consultant? *
Would you prefer to work with a Holistic Family Consultant in English or Spanish? *
Do you have a specific Holistic Family Consultant you would like to work with?
Please tell us a little about why you’re reaching out right now. *
What do you hope to accomplish working with a Holistic Family Consultant? *
Do you have any medical or mental health diagnoses or special needs? Our Consultants have a diverse set of skills that allow us to best meet each individual’s needs. (If yes, please describe) *
We understand that many families have had their income impacted by COVID-19, and we have Consultants available at various rates for half hour or hour consultations. What are you able to pay? *
How did you hear about The Consciously Parenting Project? *
Please indicate that you understand you will be meeting with your Consultant virtually via Zoom. The purpose of this short intake is to help us match you with a Holistic Family Consultant who will be a good fit for you, based on your time zone, financial means, and what you hope to accomplish. If the fit is not right, we can help you find another Consultant. *
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