Please complete each question with as much detail as desired.  This helps me understand where you’re at, your intentions, and if we’re a fit for the four-month commitment. I purposely take on a limited number of clients so that you become my priority and I can dedicate the time, energy, and container for our work. Equally, it requires that you also dedicate the time and energy to your own process with integrity and 
Answers will be discussed in a follow-up conversation by phone.

All information is kept strictly confidential and is never shared.

If you do not wish to complete this form online, you may also request a Word doc application form and email it to me directly.