Respond to each question to the extent that you are comfortable. Kindly note that providing more information will enable me to offer more precise and personalized assistance in your journey toward healing. PLEASE DO NOT FILL THIS FORM OUT UNLESS WE HAVE A SESSION BOOKED.
All information shared is private and confidential. However, please note that this form does not use an encrypted program. If you feel uncomfortable with this, you can answer the questions privately during our first session.
