Our Approach — Seasons of Love

Ready to GROW your relationship with yourself, your partner & the world?

Please fill out the intake form below prior to our first session. I am looking forward to beginning our journey together!

Name

First Name

Last Name

Gender

Age

Address

Phone number

Country

(###)

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Occupation

How did you find me?

What if any health issues I should be aware of in our work together? Please elaborate.

Are you single, in a committed relationship or married?

If you are in a relationship, how long has it been?

Do you have children? If so, what are their ages?

Have you been in coaching or therapy before?

Yes

If yes, coaching or therapy? For how long?

Do you meditate or do any embodiment practice such as yoga or breathwork?

Yes

If yes, please elaborate

What are three things you most want from our work together?

What are you most struggling with in life/relationship right now?

Please share anything about your relationship or sexual history that feels relevant to our work together?

What are your concerns or fears about working together?

What barriers do you imagine might interfere with our work together?

What can I do that will help you feel safe and supported in our work together?

What are three things that you want to move through/release/transform in our time together?

Is there anything else you would like me to know?