Tell me about you!

Please submit your answers below and I'll contact you with next steps to schedule a complimentary discovery call with me to see if working together is a fit for us both:

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* 1. Name/Email:

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* 2. For the love one(s) you're grieving, what is their relationship to you (check all that apply):

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* 3. How long ago did the loved one(s) you're grieving transition:

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* 4. What are you seeking support for (check all that apply):

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* 5. Which of my services are you interested in (check all that apply):

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* 6. How did you hear about me?

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* 7. Are there any other support services you're currently participating in (i.e. counseling, groups, etc.)? If so please list them:

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* 8. Is there anything else you think would be helpful for me to know before we talk?

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