Assessment Questionnaire

You may be thinking, EFT sounds good, but how many sessions would I need? How long will it take, and how much will it cost? I don't want to get into some long drawn-out process.

Although you're never obligated beyond one session at a time, some issues resolve quickly and some take longer. There's no magic number of sessions for every situation, but to get an idea of what would be helpful for you, fill out the form below and send it to me. I can give you a general recommendation for a number of sessions based on what you want to work on.

Here's the fine print:

There is no obligation when you send this form
I will not share this information and will only use to send a recommendation to you
Your email address will only be used for the purpose of sending a recommendation, unless YOU CHOOSE to be added to the mailing list

My goal is to help you dissolve your fears and get back to enjoying riding as quickly as possible. At the same time, I'll leave you with tools you can use on your own. Riding with confidence again may be more affordable than you think.

Note: Please be aware of the limits of confidentiality of anything transmitted via the Internet. I keep your information confidential once I have received and downloaded it. I cannot guarantee its confidentiality en route or while stored online in email servers. Email and forms stored on servers are not under my control, and no one can guarantee that email can only be read or received by the intended recipient. Therefore, if you are concerned about needing absolute privacy of certain information, please don't include it on this form. Instead, write in the comment section that you have information to share in a secure manner, and we will set that up.

Your first name:

* required

Your email:

* required

Please answer the following:

What best describes the problem you want help with? (check all that apply)

Fear from a fall

Afraid to lope, canter, gallop

Afraid to jump

Pain interferes with riding

Nervous around horses

Grief over loss of a horse

Show ring or performance anxiety

Fear from horse-related injury

Other (describe below)

What best describes your riding?

How long have you had this problem?

How would you rate the severity of the problem?

How important is it that you correct this problem?

Comments, or additional information:

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