Introductory Call Information

1

Name

First Name

Last Name

2

Email

example@example.com

3

Where are you from

Country & City

4

What are your Preferred Pronouns?

she/her, he/him, they/them, etc.

5

Which best describes your current goals (check all that apply)Scroll down for more options

I want help navigating a challenging life transition

I want to heal from an unhealthy relationship

I want to heal from a divorce

I want to develop skills and learn techniques to help me process challenging emotions

I want help navigating grief and loss

I want to establish and hold healthy boundaries with my current and future relationships

6

What do you think may be holding you back from reaching the goals that you indicated? Be as specific as possible

7

Please list any challenges you are currently facing or anything else that you would like for me to know before our call.

8

Will you need any special assistance or accommodations for our session?Please let me know if you require accommodations, such as Closed Captioning (CC).

9

On the following page you will be able to book your Introduction Call with Brenna. By completing this form, you agree to be 100% committed to your scheduled time, will arrive prepared, and will be in a quiet space where you can focus and be fully present.

Yes, let's schedule a call!

10

Please verify that you are human* This field is required.