Let’s get you healing! Name * First Name Last Name Email * Do you experience Anxiety and/or panic attacks? Anxiety Panic Attacks Both What type of support have you tried in the past? What has and hasn't worked? Are you ready to have someone work with you intensively? Yes No Yet! Tell me a little bit about yourself and how anxiety impacts you currently? * What is your instagram handle (so I can send you a DM!) How did you hear about me? What package are you interested in (payment plans available)? * ONE MONTH PACKAGE - ($2k USD Investment - 6 month payment plan available) THREE MONTH PACKAGE - ($5k USD Investment - 12 month payment plan available) SIX MONTH PACKAGE - ($10k USD Investment - 2 year payment plan available) Thank you!