What are the most important goals for us to accomplish during our 12 sessions together? (Imagine we are chatting AFTER you've completed the 12 sessions, what had to have happened for you to feel happy about the decision for us to work together?) *

In your opinion, what is standing in the way of accomplishing those goals on your own? *

What are the repeating patterns in your life that you want to change? *

Have you ever done any shadow work or therapy before? *

What's your main reason for wanting to work with Terrie? *

How willing are you to invest in yourself? CHECK ONE *

I have the financial resources to invest in myself now.

I can generate the financial resources to invest in myself now.

I have little to no available financial resources to invest in myself now.

Do you consider yourself and action taker CHECK ONE? *

Yes

How open are you to putting in consistent time and effort into your transformation? *CHECK ONE*

I have plenty of time to be consistent in action for my transformation.

I can make the time and be consistent in action for my transformation.

I won't put in any time or consistent action for my transformation.

First Name & Last Name *

Email *

Phone *

What country do you live in? *

Date of birth *

How did you hear about me? *