Reach Out

About the Initial Consultation

When we meet, feel free to ask me any questions you may have and decide if I am a good fit for you. We can also decide if what you are looking for aligns with my experience, skills and approach. If we decide in this consultation to begin counselling, we will schedule your initial therapy appointment. If you decide it is not a good fit, you are not obligated to enter into a counselling relationship. I look forward to working with you!

Name *

First

Last

Email *

Telephone With Area Code

Can I Leave a Message? *

• Yes
• No

What is the main area of concern that brings you to counselling? *

On a scale of 1 - 10, how concerned are you about this problem?

Selected Value: 1

1 being not at all concerned and 10 being extremely concerned

What made you decide that right now was the right time to seek help? *

Do you have specific concerns or questions you would like to address? *

Is there anything else you feel is important for me to know about you for me to be helpful? *

Submit