Contact

What are you experiencing/reasons for connecting with me?

Stress Level:
—Please choose an option—12345678910 (extreme)

Anxiety Level:
—Please choose an option—12345678910 (extreme)

To what do you attribute your current situation, symptom or health issue?

How/what have you tried to help your current situation, symptom or health issue?

What changes would you like to see in yourself?

Are you currently receiving any traditional or alternative/complementary treatments?

Current Self Care Practices (Relaxation, Exercise, Journaling, Etc.)

Is there anything else you want me to know for our Clarity Call?