Welcome, and thank you for your interest in my



Please fill out the following form and answer the questions as simply as you can.  Be honest with yourself! Your answers will
you get the most out of our time together.


CLICK HERE to access the PDF.

You may fill it out online and

email it back to me at:

When I receive your submission,

I will contact you to schedule
your personal
1/2 hour session.

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