Consultation Intake Form

How is it going for you?

I can’t wait to hear where you’re at! This short check-in (5–10 minutes) allows me to see what’s working, what’s still challenging, and to adjust my advice accordingly.

Share everything with me: the positive and the negative. There’s no judgment here – only your reality. Struggling with a recommendation? Perfect, we’ll find an alternative. Seeing great results somewhere? Excellent, we’ll figure out why it’s working so well.

Your honesty is what moves us forward. We work together, we test, we adjust. That’s how we find what truly works for you.

You can save your answers and complete and send the form at a later time, if you wish. If you prefer, you can instead download this intake questionnaire in PDF form, and send it back to me by e-mail.

Formulaire d'accueil - Suivi - EN

Before You Start


🤳Online Consultation

If this follow-up consultation is taking place remotely, please send me the following selfies. These are traditional elements of observation in Ayurveda, and allow me to compensate for the limitations of observation via video call.