LIT SESSION AMANDA ASHLEY LIFE
These are the questions I ask all of my clients in order to begin. It helps me to get to know just a little bit about you. Once received I will contact you to complete important forms and schedule your virtual session! āØ
Preferred Name
*
My name is Amanda :) What's yours? šš½
Pronouns
*
Mine are she/her, what do you prefer? š
Email
*
example@example.com
Consent to contact you
*
What is the best way to contact you and what time of day? Text, phone, email whatever youāre comfortable with.
Phone Number
Ā -
Area Code
Phone Number
Date of birth
Ā -
Month
Ā -
Day
Year
This information is needed only if you wish to schedule an immediate intake appointment.
Seeking
Please briefly describe what services youāre interested. If youāre unsure and would like to schedule a consultation please write āconsultationā and a good time on Monday. Iām happy to schedule a brief 10 minute phone call to answer any questions you may have. āŗļø
Iād love to know how you heard about me
Google
Psychology Today
Amandaashley.life
Open Path
Social Media
Event
Word of mouth
Other
Thank you for your feedback!
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