Discovery Session Intake

This form will help me better understand your current relationship dynamics, the challenges you’re facing, and what you’re looking to achieve through our work together. Your responses will allow me to tailor our sessions to meet your unique needs and ensure we’re a good fit. 

This form also has a few housekeeping questions, thank you for answering!

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Email *
Name *
How would you describe your current relationship structure?
 *
What challenges are you currently facing in your relationships?
*
What inspired you to pursue mentoring at this point in your journey? *
What are you hoping to achieve by working together? What do you want to work on?
 *
Are you currently working with any other therapist, coach, or mentor?  
 *
Where did you first find me? *
What about my content got your attention?
 *
Where do you follow my work? (Select all that are relevant) *
Required
What made you feel comfortable, confident, or inspired to choose me as your mentor?
*
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