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Alignment Consultation

What do you need right now?


Completing this survey prior to scheduling an Alignment Consult can help tailor the session to your specific needs and immediate concerns. It is designed to gather essential information, ensuring our call is as productive and supportive as possible.

Once you complete the survey, I will review your responses and be in touch to schedule our call.

Click the button below to start.

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Question 1 of 6

What are your primary concerns regarding your cancer journey right now? (Select all that apply)

(Select all that apply)
A

Emotional well-being

B

Side effects management

C

Financial issues

D

Relationship/ family concerns

E

Long-term health planning

Question 2 of 6

How would you describe your current emotional state?

(Select all that apply)
A

Overwhelmed

B

Anxious

C

Hopeful

D

Isolated

E

Scared

F

All of the things, all at once

Question 3 of 6

Describe in detail what you are most wanting to address within the Clarity Consult?

Question 4 of 6

What are your main goals for the 90-minute clarity consult?

(Select all that apply)
A

Gain emotional support

B

Develop coping strategies

C

Receive guidance on financial planning

D

Explore ways to communicate with family and friends

E

I would like to just talk about whatever comes up

Question 5 of 6

Have you had any previous consultations or therapy related to your cancer experience? If yes, what did you find most beneficial?

Question 6 of 6

Is there anything specific you’d like to spend more time discussing during our session?

Confirm and Submit