Inquiry Form

Please fill out this form as thoroughly as you can. It will help in our work together. Please email it back to me prior to our first session. If you do not choose to answer any question, please write "Do not wish to answer."

*3 low-income spaces are always reserved. Please note below in the last box if you are interested in this and more information about requirements and an application will follow. Please note that these sessions often book well in advance. Thank you.

 
Today's Date *
Today's Date
Name *
Name
Drop down box
Drop-down box
Drop down box
Please select which best describes your Financial Resources: (choose the one that best fits) *
I work with people and groups globally both in-person, via video and phone.

 
The sharing of joy, whether physical, emotional, psychic, or intellectual, forms a bridge between the sharers which can be the basis for understanding much of what is not shared between them, and lessens the threat of their difference.