Creative Empowerment Intake Form

Hi! Fill this out as much as you want to, and at least 24 hours before our session (if you can).

Name:

First Name

Last Name

Email:

Preferred Pronouns:

Tell me a little bit about yourself as an artist/human/creative person:

What do you hope to take away from our session?

i.e. some feedback/new ideas surrounding a particular project, how to deal with perfectionism, to begin to cultivate a regular creative practice, "nothing really I kind of just wanna hang out and talk about life," et cetera et cetera whatevera!

How do you wanna talk?

If you're in NYC or Chicago and wanna meet in person over coffee, we can do that. Otherwise we can have a Skype/GChat session, either via video or just typing away like it's 2001 and we're on AIM. Whatever makes you most comfortable!

In person

Via video (Skype or GChat)

Via text (Skype or GChat)

What's your Skype handle (if we're doing Skype)?

What's your date of birth, time of birth, and birthplace?

This is totally optional. I really like astrology and would love to look up your natal chart, if you're into that/curious about it. I also read a little bit of tarot if you want to incorporate that into your session (I think it's a great way to simply ask questions you wouldn't otherwise think to ask, and to gain a different perspective). If you're like "Tiffany I love you but I hate this woo-woo bullshit," you can leave this space blank and we'll never speak of it again.

Do you know your Meyers-Briggs type?

Again, optional. If you don't know, you can take the test at 16personalities.com. I'm an INFP myself!

What's your Instagram/Twitter handle/website/professional Facebook page, if you've got 'em?

I'd like to stalk your internet presence a little, if you don't mind.

Anything else I should know?