I’m so glad you’re here. This short form is designed to help me understand where you are in your relationship journey and how I can best support you.
What brings you here?
Briefly describe the relationship challenges you're currently facing or the patterns you’re noticing.
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What kind of support are you looking for right now?
(e.g., understanding your attachment style, breaking toxic cycles, dating more intentionally, etc.)
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Have you done any personal development or therapy work before?
If yes, what kind and how did it help (or not help)?
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Making lasting change requires time, energy, and financial investment. Are you ready to commit in these ways?
Yes! Not right now.{"type":"select","name":"__generic5","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"Yes! \nNot right now."}
On a scale of 1–10, how committed are you to doing the inner work to shift your patterns? (1 = just exploring, 10 = fully ready to dive in)
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How did you hear about me?
InstagramYouTubePodcastGoogle/Search EngineReferral{"type":"select","name":"__generic6","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"Instagram\nYouTube\nPodcast\nGoogle/Search Engine\nReferral"}
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