top of page


Please take your time filling out this Family History.  The questions are designed not only to give me a better sense of your experiences, but also to give you an opportunity to reflect on your important relationships.  


If any question feels difficult or uncomfortable for you to answer, please indicate that.  These are areas we can explore in session.  Although this information can help me better attune to you, please share only as much as you feel comfortable sharing.

bottom of page