New Client Information Form

Is faith or spirituality important in your life right now?

Yes

No

I’m not sure

If faith is important to you, would you feel comfortable with me gently weaving faith-based elements (such as prayer, scripture, or biblical declarations) into our work together, where appropriate?

Yes, I would love that

I’m open to it, depending on how I’m feeling

I’d prefer not

Are you willing and able to invest in your wellbeing, freedom and ultimate happiness?

Yes

No

New Client Information Form

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