Client Intake Form

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Initial Session

Congratulations on your first step to shift your life! I am happy and delighted to be able to work with you. Please fill in the information below in preparation for your first session. Also, see below the payment options and some brief guidelines to keep in mind for each session.

Full Name as it appears on your birth certificate. This is very important!
The name you currently use to introduce yourself or as it is on your driver's license, passport, etc.
Your current house or apt. number including letters.
Provide a brief explanation of your current situation, that you would like to ask about, change, improve, etc.
Please answer the following questions. Explain as much as you need. 1. What do you want to ask or know about your current situation?
What specific concerns do you have that you want to clarify, validate or understand?
Which areas of your life would you like to work with: wellbeing, life partner, life purpose, family, career, finances, spirituality, etc. Explain why?
What do you expect from my services?
What are some of the questions that you would like to ask on your first session?
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A​CCEPTED FORMS OF PAYMENT

VENMO

ID: @Lillie-Cintron 

Phone: 727-365-3161 

Email: [email protected]



CASHAPP

ID: $LillieCintronMBA 

Phone: 727-365-3161

Email: [email protected]



ZELLE

Phone: 727-365​-3161

Email: [email protected]



CANCELLATIONS POLICY


Appointments can be rescheduled with a minimum of 24 hours-notice at no charge.


Rescheduling within less than 24 hours-notice, for 3 or more consecutive times, has a $25 rescheduling fee.


Cancellations within less than 48 hours-notice have a $40 cancellation fee. 


No shows are non-refundable.  



ABOUT THE SESSIONS

​​To make the best of the session please follow the guidelines below:

Before the sessio​n please take a few minutes to relax and prepare yourself, so you can be present, open and receptive.

That means, turn off your cell phone to avoid any type of interruptions and remove distractions & noises that will take the attention from this time for yourself.

Online sessions are recorded & the audio (mp4) file will be sent to you via email right after the session is completed. Recordings are important for future reference and for you to review what was spoken. If the session is in person, you can record it on your smart phone.


These are advisory type sessions, make sure that you understand what is explained and feel free to ask any questions and clarification that you may need. Recommended type of questions are those that begin with "What", "Why" or "How".

Not recommended: "Yes or No" questions, Predictive questions about the future or those beginning with "when".

This is not therapy. It is not about extensively talking about your circumstances, venting or analyzing your situation. I don’t need extensive information from you as it will consume the time of the session. Except for some specific details that I will ask for, I need you to focus on what I say about your situation in order to help you shift and get it resolved, even if it doesn’t make sense at first. The recording helps you go back and listen to the message to help you process the information at your own pace.

If you have any questions, please let me know. I look forward to working with you and to support you in your journey.

Infinite Blessings,  Lillie

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