Name *

First Name

Last Name

Phone *

(###)

###

####

Would you prefer… *

Check all that apply.

A mostly self-guided experience

Occasional support or check-ins

A 1-on-1 collaborative process

A guided group process

Have you used tools like ChatGPT before? *

Yes, regularly

I’ve tried it a few times

Not yet

I understand that this process is not a clinical or therapeutic service, and that participation does not constitute psychotherapy, psychological assessment, or a treatment relationship. *

This process is consultative and reflective in nature. If accepted, you’ll be participating in a guided self-discovery experience, not a mental health service.

I agree.