Creative Empowerment Intake Form

Hi! Fill this out at least 24 hours before our session.

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)?

Do you know your Meyers-Briggs type?

This is 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?

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