Thank You For Choosing The
Bronze Consultation Package

Thank you for making the wise decision to include personalized coaching in your healing process. I am eager to help you reach your recovery goals.

In order to move forward as quickly as possible, I need some background information about your situation. This will save us a lot of time and will maximize the results you can get from this investment.

Please give me as much information as possible about your condition by filling out the following questionnaire. Of course, you won't be able to tell me everything about your situation, but it will give us a good start. So do your best to fill out all you can.

Step 1: Complete The Questionnaire

Tell Me About Yourself and Your Condition

Please note that all fields followed by an asterisk must be filled in.

Please enter the word that you see below.

  

Did you Hit the "Submit" button to send this information to me?


Step 2: Contact Me To Set Up Our First Appointment

Please use the "Contact Us" link below to contact me. Let me know the dates and times (please indicate AM or PM hours) that you are available. Three options will be most helpful so we can decide on a date and time that works best for both of us. Be sure to let me know what time zone you are located in.

Here is the link:

Contact Us

You must have filled out the questionnaire above before contacting me.

I look forward to hearing from and working with you toward a successful recovery!