Interested in Speaking with Scott?

1

Name* This field is required.

First Name

Last Name

2

Which email address shall we use?* This field is required.Don't worry, I'm not going to spam you. Please double check that your email is correct before proceeding.

example@example.com

3

What country are you from?* This field is required.The country where you currently reside

5

Select any of the following that apply to you:* This field is required.Thank you for being honest.

I overthink and worry about the future

I deal with social anxiety and have trouble making friends

I convince myself I can't do certain things

I experience intrusive thoughts that can be pretty scary at times

I feel like I'm just not good enough

I have trouble sticking to a routine and schedule

I'm just not happy with my life right now

I deal with depression as well as anxiety

6

What excites you? What do you love to talk about and really love doing?* This field is required.

7

What are you most needing help with right now?* This field is required.

8

Do you currently have income to work 1-1 with Scott?* This field is required.Scott has the capacity to work with a few people on a sliding scale depending on their income.

Yes, I have the financial resources

No, I do not have the financial resources