I know it can be overwhelming to fill out this form, and it's completely okay if you feel that way. I'll never forget the moment I first reached out to my own therapist, many years ago. I had a lump in my throat that wouldn't let me say what I needed to say. And yet, the person I am today was built on that initial discomfort.
I want to reassure you: you are just one form away from starting the transformation you dream of. Answer only as much as you feel you can, share as much as is comfortable for you, and I will contact you as soon as possible.