Tell me a bit about you… Name (chosen if different from legal) * First Name Last Name Pronouns Email * I am over 18 * yes Please specify what brings you to this kind of work, and even to me, in particular, if you feel it would shed light on the work you'd like to do together. * What is your background with boundaries and consent? This question is meant to help me understand where you're coming from, if you have academic experience, or if you've read certain books, etc. * What do you hope to get out of this practice with me? Is there anything you'd like me to know about you before we get started? Topics that are off limits, triggers, things that have or haven't worked for you in the past? Do you have any concerns or fears around this kind of work that you'd like to share? What is the most urgent thing you'd like to address with this work? What can Mia help hold you accountable to, for yourself and/or your community? Any questions for me? How did you find me? All sessions will be virtual until shelter in place restrictions are lifted. **I approach this work as an educator and a consultant. My practice is my own. I am *not* a mental health professional. I cannot guarantee results. **You will receive a consent form from me that I'll need signed before our first session. * I have read the above and I accept. Thank you!
