Strategic Consultation Application

Strategic Consultation Application

This application is for those ready to step into deep, focused work. It’s not a casual inquiry—it’s the first move toward real change.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState

Zip Code

What are you currently struggling with or navigating?*
What have you tried so far to work through this?*
Why now? Why this moment?*

Have you worked with a therapist or coach before? What worked, and what didn’t?*
What are you looking for in this work? Be as honest as possible.*
This work is deep, direct, and emotionally demanding. Are you ready for that kind of engagement?*

Are you interested in a one-time Strategic Consultation, or exploring ongoing or intensive work beyond it?*
Preferred availability (days/times)*

Is there anything else you want me to know before we begin?*
Please select one:

I understand that this is a paid consultation designed to offer clarity and direction, not a commitment to ongoing work. Insurance will not cover this consultation.I am actually looking to do traditional therapy (individuals only) and would like to schedule an intake session.
Should be Empty: