Savvy Intuition, LLC
Please complete all necessary areas. The answers to your questions may be listed on the website.
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Date of Birth (therapy consultation only)
Address (therapy consultation only)
Street Address Line 2
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Are you currently employed?
What is your profession?
How did you hear about Savvy Intuition, LLC or were you referred by someone?
What type of counseling/therapy are you inquiring of?
What is you main struggle/concern?
How is this concern influencing or causing stress in your life?
Have you had any therapy/counseling in the past? Was it beneficial?
If you have been experiencing symptoms of concern, please describe.
On a scale of 1 to 10 how important is it for you to work on this difficult situation?
On a scale of 1 to 10 how ready are you to start therapy and commit to doing the work?
Please select the type of sessions you would prefer:
Virtual (zoom, google meet, video-conferencing, etc.)
Desired method for payment of services
Your availability for appointments
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Please note: Frequently Asked Questions can be found on the website - www.savvyintuitionllc.com.
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