“Soften”-Intake Form Personal InformationFull Name *Age *Email ID *MobileTell Me About You Please answer the following questions honestly. This is a safe & confidential space. Your responses will help me understand you better and support you in the most meaningful way.Which of these best describes you today? *Feeling emotionally exhaustedFeeling disconnected from myselfRelationship strugglesHealth related emotional overwhelmAnxiety/ StressJust curious about healingWhat would make this session feel valuable for you? *Have you experienced coaching, therapy or healing work before? *YesNoIs there anything I should know to make this space safer for you? *Submit
