Inquiry Basic Questionnaire

Thank you for connecting with me. Here are a  few basic questions to get us starting.

 Are you able to commit to 10 sessions? *
Yes
No
 Which area would you like to improve? 
Relationships: Social, work place or personal.
Family challenges: As a parent or  As an adult dealing with your  parents.
Changes due to a relocation
General life changes.
Other.
 If you choose "Other" please specify here: 
 Your name: *
 Phone number and Email address *
 please choose the best time to contact you during the day *
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