Please fill out this intake assessment to let me know more about you: Name * First Name Last Name Email * Your DOB Your history: What do you want me to know? Your goals for our time together: What makes you feel safe? If your life was exactly the way you wanted it to be, what would that look like? Tell me about your spiritual journey/Walk with the Lord? I have read the policies and procedures and agree with them: * I agree I do not agree Thank you!
