Work With Me Intake & Booking

Work With Me Intake & Booking

Please fill this out so I can understand what you’re looking for and support you appropriately. This form is required before scheduling.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number
Please enter a valid phone number.
How did you hear about me?*
If you were referred, please let me know by who!
First & Last Name
What would you like to book today? Discover Calls booked directly below; 55-minute EFT Tapping Sessions are booked at bottom of page*

Discovery Call (15 minutes, complimentary)1:1 EFT SessionEFT for Narcissistic Abuse RecoveryEFT for Psychedelic IntegrationHorse–Human EFT SessionSmall Group TappingNot sure yet / I’d like guidanceOther
What are your main reasons for reaching out?*
Briefly share what you’re currently experiencing or what you’d like support with.
What would be your top goals to achieve if we worked together?*
What are/have been the biggest barriers to these goals?*
Have you worked with EFT Tapping before?*

Yes - with another practitionerNo, neverA little / I’ve tried it on my own
Are any of the following relevant right now? (check all that apply)*

History of narcissistic family dynamicsHistory of narcissistic and/or emotionally unsafe relationshipsRecent emotional breakthrough or spiritual experienceFeeling dysregulated, overwhelmed, or shut downWorking with a therapist or coachNone of the above
Is there anything else I should know?
REQUIRED ACKNOWLEDGMENT (all boxes must be checked to book a call/session)*

I understand EFT Tapping not a substitute for medical or mental health care, and Jen DeMarco is an EFT International Level 3 Certified EFT Practitioner, not a medical professional.I understand EFT Tapping is considered a complementary and emerging modality and you must assume full responsibility for your participation and well-being.I understand sessions focus on present-moment emotional processing, not diagnosis or crisis support.
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