Let’s work together Name * First Name Last Name Email * Phone (###) ### #### What services are you interested in? * 1:1 Coaching Nervous System Reset Group Coaching Not sure yet- open to guidance How did you hear about Britt? Option 1 Option 2 What challenges are you currently experiencing * What led you here? How are the challenges impacting you? * Day-to-day life or relatioships? Previous or current inner work Have you done therapy or coaching before? If so, what has helped or not helped? Do you currently ha e at herapist or other mental health support? Safety + Alignment This coaching work is trauma-informed and may involve deep emotional processing. Are you open and ready for this level of work? Yes, absolutely I'm curious and willing I'm not sure Thank you!