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Monti Bianchi Performance Wellness - Intake
1.
Hello! What is your name? (Your information will be kept confidential).
2.
Please enter your email address:
3.
What brings you to Monti Bianchi Performance Wellness?
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Have you previously received any type of coaching or therapeutic services?
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In what areas do you currently need support (e.g. performance anxiety, post-pandemic struggles, trauma, creative blocks)?
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What areas of your life have been affected because of current struggles or roadblocks?
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What is your main goal in terms of your professional, personal, emotional, creative wellness?
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If you feel comfortable, let us know your age, gender pronoun, geographic location and any detail you think is relevant
Current Progress,
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