Private Deep Dive Session Intake Questionnaire

Welcome! I’m cheering you on as you explore receiving support in deepening your awareness and clarity. Private Deep Dive Sessions are designed to be highly focused and intentional sessions to help transform patterns (habitual ways of thinking, feeling, or behaving) that you have outgrown.

This intake questionnaire is designed to provide me a clearer sense of your intention for our time together and to help customize my approach to our session. Please take 15 – 30 minutes to give yourself enough time to become grounded and present in order to answer these questions from a clear and connected space. The more intention you put into these answers, the more powerful the session will be for you.

Please complete the questions below, then click on the Submit button. As soon as we have a chance to review your response, Maxine (my assistant) will reach out to schedule our session.

I truly look forward to working with you!


  • This field is for validation purposes and should be left unchanged.

PLEASE NOTE: The investment for a Private Deep Dive Session is $500. This is payable by check or credit card. A non-refundable deposit of $100 is required when booking the session.