LET'S GET PERSONAL

I work with people who are ready to engage differently—with themselves, with others, with what they want. People who are willing to feel, to speak plainly, and to take responsibility for their inner lives. My clients come from all genders, orientations, and backgrounds, but they share a common thread: curiosity about what’s possible when you stop editing yourself.

The Client Intake Form is where you begin that conversation. It gives me a clear picture of what’s happening now and what you’re hoping for. Your responses are private. Say what you mean. It matters.

No form, no call.

First name

Last name

What are your preferred pronouns (she/her, he/him, they/them, etc)?

Phone

City/State

Why are you interested in working with me specifically?

Which offering are you interested in?

What led you to seek intimacy coaching at this point in your life?

What patterns, challenges, or recurring dynamics are you noticing in your relationships or inner life right now?

Where do you notice distance or disconnection—internally, relationally, or in your body?

If this work were helpful, what would feel different in your day-to-day life?

Have you done any personal or therapeutic work before (coaching, therapy, somatic work, or similar)?

Are you open to incorporating body-based or somatic practices as part of our work together?

What feels like a clear yes for you—and what feels like a hard no?

Is there anything else I should know about your history, your nervous system, or how you tend to respond under stress or intimacy?

Are there any expectations, assumptions, or questions you have about how this work is conducted that you’d like to name upfront?

Please provide links to your social media for identity verification. This may include LinkedIn, Instagram, or Facebook.