This form serves as a bit of history prior to our session and allows me to map out where we begin. Since we all have our unique paths and history this is crucial as I wish to meet you on your level. I encourage you to dig deep, to be brutally honest and forthright. There are no right or wrong answers. There simply is your truth. So please share freely. Your answers are held in the strictest of confidences.
If you have any questions feel free to reach me direct at At the bottom of this form you will be prompted to schedule your session. 

Name *
What are the reasons that brought you to work with me one-on-one? Get detailed. Get raw. Get vulnerable.
Are you a seasoned pro or a newbie to this whole manifesting business? Dont worry, being a newbie in this case means less to unlearn ;)
Did you feel accepted? Welcomed? Or rejected and bullied? This question primarily centers on the only the preschool to elementary, junior high years.
Have you worked with someone in manifesting before? *
This is important and will serve as a foundational aspect of our manifesting work. Again the encouragement is always to be raw, vulnerable and honest.
Do you stand proudly in your worth or find you shrink away from the world? In other words, in what ways are you potentially keeping yourself small?
Feel free to get specific and list as many as you are presently working on.
Whether its manifesting love, manifesting a new career, a new home etc. what does a 9 or 10 on a scale of 1-10 (1 being meh, 10 being kick ass!) look like for you in this area?
Get very clear. In the area you are seeking to manifest something what is the reality you are currently living?
Why is there a gap-what is stopping you from getting you to that 9 or 10?
Use this space as you feel called. Is there anything else about you, your history, your background, your being, that is important for me to know?