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What do you want help with the most right now? *

What's stopping you from getting the result you want? *

Who is this improvement for? *

How long has this been an issue? *

What have you already tried? *

In the past 12 months, have you experienced anything that would require urgent clinical support, like a mental health crisis, thoughts of harming yourself or others, active addiction or relapse, or any violence/coercion in a relationship? *

Which best describes you right now? *

Can you dedicate 2–3 hours weekly? *

When do you want this solved? *

Anything else we should know? *

If we’re a fit, are you prepared to invest in coaching? *