Please take the time to fill this out if you are a new client. Thank you!

Introductory Session: New Client Intake Form
On a Scale from 1 to 5 with 1 being the lowest and 5 the highest, how would you rate yourself?
On a Scale from 1 to 5 with 1 being the lowest and 5 the highest, how would you rate yourself?
On a Scale from 1 to 5 with 1 being the lowest and 5 the highest, how would you rate yourself?
On a Scale from 1 to 5 with 1 being the lowest and 5 the highest, how would you rate yourself?
On a Scale from 1 to 5 with 1 being the lowest and 5 the highest, how would you rate yourself?
On a Scale from 1 to 5 with 1 being the lowest and 5 the highest, how would you rate yourself?
Sending