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How Did You Hear About Us? *

Have you watched or read Ariel’s content? If so, what resonates?

Have you taken any courses, attended classes, or retreats she’s led? When, Where?

What do you do for work? Please describe.

Please describe your family situation (number of children, married, widowed, divorced, single).

What are your primary sources of stress? Please list all the ones you can think of.

What’s the biggest challenge you’re facing right now?

On a scale of 1 to 10, 1 being the least, 10 being the most, how do you feel about:

How committed you are to changing?
How urgent are the changes?

Have you sought and/or followed any psychotherapeutic or psychological help, taken any courses, attended classes or retreats, participated in AA, NA of any kind in the past. Please list what, however many you remember, when and where?

If yes, which are you still participating in?

How do you feel Ariel can support you?

Ariel's fees are in the thousands. If this is a match, are you able to financially invest? 

If there is anything you’d like to share with me that hasn’t been addressed above, please share.