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Sessions with Melissa are held in New York City, by phone, and via Skype for international clients. Hours are Monday through Friday, 11:00am-6:00pm ET.

To schedule a session, fill out this brief questionnaire so that Melissa can understand your current situation and goals. Be sure to include your phone number. This form must be completed in its entirety if you would like to be contacted. All information you provide is strictly confidential. If you don't receive a response within two business days, please send an email to melissa@transformnow.com.

Important: Before submitting this form, please read the FAQs page. The information on this page will answer many of your questions and help you decide whether Transform Now Sessions are right for you.

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Daytime Phone: Evening Phone:

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What is your gender?

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Disclaimer:

Melissa may utilize some or all of the following modalities in a session with you (the participant): dialogue, breathwork, intuitive readings, neurolinguistics, body awareness exercises, dance, and guided visualization. Participants are fully clothed throughout the session. The participant agrees and understands that the techniques are taught with respect and integrity, and the participant must also participate in the session in a respectful manner. Melissa does not support any sexual/romantic connection between practitioner and client, as appropriate boundaries are essential for growth and healing.



What session(s) would you like to book?
Love & Relationship Coaching for Individuals
Love & Relationship Coaching for Couples
Radiant Woman Coaching
Tantra Instruction for Individuals
Tantra Instruction for Couples
Salsa for Your Soul
Transformational Reading
Integral Balance Session

How satisfied are you with the love in your life and what would make it better?

What personal goals would you want to address in a session with Melissa?


Which of these best describe your interests at this time? Check all that apply.
Learning techniques to become a better lover
Creating more love and passion in my relationship
Attracting the right partner and weeding out the undesirables
Assessing the health of my current or past relationships
Recovering from the loss of a relationship
Healing sexual problems
Increasing my capacity for pleasure
Healing from emotional or sexual abuse
Finding more of my god/goddess energy
Receiving spiritual guidance for my life

How did you hear about Transform Now?

Have you ever worked with a counselor or a coach or participated in any 12-Step programs? If so, briefly describe your experience.

How many times a week do you drink alcohol or use recreational drugs?


Anything else you would like Melissa to know about you or what you are expecting to gain from a session?



 

If you encounter any problem with this form or your browser does not support this form, please send an email to melissa@ transformnow.com or leave a message at 212-769-6407


  
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© 2006 - 2007 Melissa Zwanger and Transform Now
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