This form will generate a pdf that will be emailed to you once you fill it in and submit it. (Submit button is at bottom of page).

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    The questions below are to help me get to know you better—what works for you, what doesn't, and where you desire change. I suggest that you read them over first, let sit for a day or two, then fill them in.

    Answering as many of these as possible will enhance the process of our Intake Session. If you'd prefer to answer some of these during session, (or not at all), that's fine.


    Please list up to 3 areas you'd like to focus on, and indicate its rank in your priorities:
    (Example: Be More Productive - 1 (The # ranks its priority)

    Area of Focus