Schedule a Clarity Session with Nina

If you are considering long term work with me, please fill out the questionnaire below.

Once I receive your submission, I will contact you to set up a time to meet.

I look forward to working together.

*Note I am not currently taking new clients. Please fill out the form below and you will be placed on a waitlist. Thank you for your interest!

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Full Name

First Name Last Name

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What is your vision for yourself (in relationship, work, or another area you'd like to focus on)?

Why is this direction important to you?

Where do you feel stuck, confused, or blocked in creating this vision?

Are there any negative beliefs or worries about yourself that come up?

What recurring patterns do you find yourself in that frustrate you and block your progress?

Why is pursuing healing work important for you at this time in your life?

On a 0 to 10 scale, how committed do you feel to making a change in your life right now?

Please enter a number from 0 to 10.

What will be the cost if you don't create this vision for yourself?

How did you hear about Nina?

For astrology: please input your Birth date, time of birth, and place of birth.

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