new client intake form

This pre-session intake form is an opportunity for me to get to know you better and identify any areas we might need to focus on. These results will only be reviewed by me or one of my team members and are otherwise kept private. Anything you disclose here is between you and I.

Be as thorough as you’d like. If you aren’t sure of an answer you can skip it or just write “I’m not sure.” Thank you so much for taking the time to fill this out so that I can give you the very best service.