First name*

Last name*

Email*

What draws you to this work at this moment? Share what’s calling you here.*

What have you already explored? Therapy, psychiatry, coaching, spiritual practices, or other inner work.*

As per Baba Hari Dass, founder of Mount Madonna center in California,"The aim of life is to attain peace." If you agree then what are the hurdles you are facing. If you disagree then please share your thoughts.*

What feels most alive or tender in your inner world right now? Whatever feels true in this moment.*

Do you have any questions for me before we meet? You’re welcome to ask anything.*

This work sits outside the medical model and is not covered by insurance. Are you comfortable with that? Yes / No*

The session rate is $500, with a sliding scale available for those who need it. Are you comfortable with this structure? Yes / No*

Is there anything else you’d like to share? Optional.

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