Connect Please take a few moments to fill out the form below Name * First Name Last Name Email * Message * What time zone are you in? * Tell me a little bit about yourself. * What is the number one thing you woud like to work on? How is this issue negatively impacting your life? What area of your life are you wanting to focus on? Emotional / Mental Health Physical Health Relatitionship Parenting / Family Spiritual Growth Career Personal Growth What have you tried in the past ( i.e. - therapy, group classes, books) to help with this issue? What worked and did not work? Where are you still feeling stuck? How strongly do you need to resolve this issue? Option 1 Strongly Disagree Disagree Neutral Agree Strongly Agree How would you feel to have this issue no longer a part of your life? What would your life life look like, feel like, be like in 6 months, having reached your goals? Why is taking care of this a must for you right now? Thank you!
