Form for working with Stephanie — Stephanie Mankarios

Please fill out this form if you are ready to work together!

It’s important to me that you feel safe and feel a sense of connection when working with me. Here are a few ways you can explore this experience more personally.

1.Name

First Name

Last Name

2. Email

3. Session preference

15 minute Get-to-know-you call

I'm ready to start 1:1 sessions

Half-day therapy

4. Tell me a little bit about what you're needing support with or would like to focus on:

5. Please list 3 upcoming days + times when you are available to meet:

6. What time zone are you in ?

7. Phone Number

Country

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8. Where did you hear about me/ How did you find me?