Apply to Work with Angela

First name

Last name

Phone

Age

Where to you live?

What are you most interested in?

What area of your life would you like to make progress in and why?

What has it been like to struggle in this area of your life?

How would it feel to be supported and held accountable in this area of your life?

How would your life improve if this area of your life was transformed? What would become available to you?

What have you previously tried to create change or grow in this area of your life?

Talk Therapy

Prescription Medication(s)

Natural supplements / herbs / acupuncture

Other

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