Client Assessment Application

Would you like to work with me?

Please fill out the Client Assessment Application.

If selected, you will be notified in 3-6 business days. Check your SPAM folder.

Please notify me if any part of the form, link, or email malfunctions. If you were directed here after contacting me, please fill out this form. I will assume you are not a serious client if the form is not received in reasonable time.

Accepted applications get a 30 minute consultation.
You will get a “Message Sent” with your answers in print on this page when you Submit the form successfully.

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