Harry Motro Contact Page

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Name of Form
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What are you interested in?
Couples Counseling
Couples Retreat
Individual Counseling
An Assessment and Diagnosis (only available for residents of California)
Executive Coaching
Mountain Bike Life Coaching (in the San Jose & Santa Cruz CA are only)
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Check ASSESSMENTS that may be of interest:
Relationship Assessment
Autism Assessment - $1,500
ADHD Assessment - $900
Dual Assessment (ASD and ADHD) - $1, 800
Alexithymia Assessment - $300 (as an add on to the Autism or ADHD assessment)
Sensory Assessment - $300 (as an add on to the Autism or ADHD assessment)
PDA Assessment (Pathological Demand Avoidance) - $300 (as an add on to the Autism or ADHD assessment)
Dyslexia Support
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Autism symptoms are presenting for:
Me
My partner
Both of us
One or more children
Nobody
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ADHD symptoms are presenting for:
Me
My partner
Both of us
One or more children
Nobody
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Check COUPLES topics of interest:
Communication
Parenting
Emotional Intimacy
Sexual Intimacy
Anger Management
Money / Spending
Time Together & Apart
Sharing Chores
Autism & Marriage
ADHD & Marriage
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Where do you live? (This impacts whether you are matched with a neuro-informed therapist or coach)* This field is required.
California
Not in California
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SS - Your therapist or coach preference:
Female
Male
Nonbinary
No gender preference
Incorporates Spirituality/Religion
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My fee is $400 per 50 minute session. If this exceeds your budget, please let me know how much you can afford and I'll connect you with a colleague. My budget per session is:* This field is required.
$300 and up
$250 to $300
$200 to $250
$150 to $200
$100 to $150 - considered "Sliding Scale". Appointments at this price are limited and may not be available.
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Your Name* This field is required.
First Name
Last Name
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Your Email* This field is required.
example@example.com
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Your Phone Number
Please enter a valid phone number.
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Your Age
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Partner's Name
First Name
Last Name
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Partner's Email
example@example.com
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Partner's Phone Number
Please enter a valid phone number.
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Partner's Age
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I'd love to hear any additional background that you would like to provide:Optional
Huge
Large
Normal
Small
Ok
Ok
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By entering your information, you agree to be added to our newsletter; however, you will be given the option to unsubscribe at any time.
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My mountain bike experience level is:
Beginner (ride gravel paths, fire roads, gentle climbs)
Intermediate (comfortable on basic singletrack)
Advanced (skilled at technical features: drops, rock gardens, switchbacks, tight berms)
Expert (not afraid of anything!)
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