New Client Intake

Let's get a clear picture before we start.

This takes about ten minutes. Answer what you can, skip anything you'd rather cover in person, and I'll follow up to schedule your first session once I've read it over.

Submitting this sends your answers directly to my inbox by email. Nothing is posted publicly or stored on this page, and no other client can see your responses.

Contact Info

Full name

Phone (optional)

Preferred contact method

Where Things Stand

Filing status

Do you currently have an attorney?

Upcoming dates I should know about (hearings, evaluations, deadlines — optional)

Children

Number of children and ages (leave blank if not applicable)

Anything about them I should know before we start (optional)

Co-Parenting

Current communication method with your co-parent (optional)

How would you describe the conflict level right now?

Your Goals

What made you reach out now?

Top 2–3 things you want out of coaching

Your Support Team (optional)

Attorney name & firm

Other professionals involved

Logistics

Preferred days & times for sessions

Time zone

Anything else I should know before we start (optional)