Step 2 — Intake

Online Coaching Intake Form

This form helps me understand your goals, readiness, and coaching needs before checkout. It does not replace medical advice.

Please select your coaching package.

Your selected package helps determine which intake details are needed. Complete this form first, then continue to checkout.

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Coaching Delivery Preference

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Charged once, with your first payment. Not part of your monthly renewal.

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Your order

Your selected coaching plan.

In-person sessions, if you choose any, are added here as a one-off charge.

  • Recurring monthly subscription, charged each month.
  • The total shown above is what you pay today. Nothing further is added at checkout.
  • In-person sessions, if you chose any, are a one-off charge taken with this first payment. They are never added to your monthly renewal.
  • Renews automatically until you cancel. No minimum term.
  • Cancel future renewal any time from your Client Portal.
  • Cancelling stops the next payment. It does not by itself refund the current paid period, and your access normally continues until that period ends.
  • You have a 14-day right to withdraw. Withdraw from a Contract — the statutory model form is on that page.
This site is still in development.

If you continue, your details will be saved and we will contact you when TRUE FORM officially launches. The payment step will complete as normal, but this is a test transaction — no real money will be charged to your card.

Thank you — your intake form has been received. We'll review it before your consultation.
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