Get Started - Hacking Simplicity

FREE CHAT

Getting to know you

Hi! Here are a few questions so I can get to know you before our session. All information is kept confidential.

First name *

Last Name

Your email *

City & country where you are currently living. *

How did you find out me? If through a friend, what is their name? *

What would you like to get out of our sessions? *

Do you do hard drugs/recreational drugs/plant medicines/pharmaceutical drugs? If yes, please list all names and how frequently. *

Do you have any psychiatric history? (i.e. hospitalizations or medications, past or present) If yes, please explain. *

What do you like most about yourself? *

I'll email you my calendar so you can book a session. Before that, is there anything else you'd like to add?