3 or 6 month 1:1 Container Request
Name
*
First Name
Last Name
Email
*
example@example.com
Phone number
*
Your IG, Substack or Tiktok if you'd like to share it with me
If you are an entrepreneur or leader, what is your business or organization
What are you most interested in receiving support for, and seeing positive shits in, during our potential time together?
What, if any, modalities have you tried before
*
Working with a coach
Traditional talk therapy or CBT
Hypnosis
EMDR
Internal Family Systems (IFS)
Somatic Experiencing
Diamond Approach
RRT
NLP
Other
Tell me about your previous experiences. What was the most useful? What, if any, were you dissatisfied with and why?
*
Have you had an initial 1:1 session with me already?
Please Select
Yes
No
It's scheduled
How did you find me?
Instagram
Substack
IRRT Directory
Heard you on a podcast
Referral from my therapist or coach
A friend
other
Submit
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