In order to get started, please take a moment to reply to the questions below. You will receive a response from Mary with next steps after your form is submitted. All responses will be kept confidential.
Tell me a little bit about yourself! What brings you here?*Answer here
Are you currently sober or have you had any experience with sobriety in the past?*
What are the biggest challenges you’re hoping to overcome?*
Do you currently have any self-care practices in place? If so, please describe.*
If you have any specific questions, or if there is any information you would like me to know, please share below.
How did you find out about this opportunity?*
Disclaimer: This 1:1 Coaching service is not designed as a replacement to treatment for those in active addiction. It can be a powerful supplement and useful tool for relapse-prevention if you are in recovery. Please feel free to reach out to email@example.com for clarity or additional resources to support you.*
I have read and understand this message