Session Follow-Up Form

A PDF of your completed form will be sent to the email address you provide below.

Please upload a fully dressed picture of yourself (within the last 24-hours) from the waist up with no one else in the picture, including pets, for Gary to scan while reviewing your intake form. The image must be in either a JPG, PNG or PDF file format and the file size must be smaller than 8 MB. There will be a place to submit this file at the end of the form. It might be easiest to have this picture file prepared before beginning to fill out the Session Follow-Up Form.

Please complete and submit this form 24 hours in advance of your next session. All boxes need to be filled out in order to submit the form. (ALL INFORMATION IS STRICTLY CONFIDENTIAL)

"*" indicates required fields

Today's Date*

Name*

First Last

Email*

Enter Email Confirm Email

List any important events or experiences that have occurred in your life since your last session.*

Did you follow through with the action steps and healing movements outlined in your session overview? If not, why? Please briefly comment on each theme discussed during your session as well as what was outlined in your session overview.*

Did you experience a positive shift from your last session? If so, explain how that is being experienced in your life.*

Have you played out any patterns or dynamics related to your mythic path since your last session? Please review your Mythic Path Overview to answer this question.*

List any life changes you’ve implemented since your last session.*

Please discuss where you are with the initial goals you declared in your client intake form. Have you experienced new insights or breakthroughs around those goals? Do you feel closer or further away from accomplishing your goals? Have your goals remained the same? If not, how have they changed?*

What are the priority issues you would like to work on during your next session?*

Do you have any thoughts or suggestions about how to make your work with Gary more effective and transformative for you?

PICTURE UPLOAD

Be sure to include a picture of yourself that has been taken in the last 24 hours so Gary can do your pre-session energy scans. Image must be in the JPG, PNG, or PDF file format. File size must be smaller than 8 MB.

Accepted file types: jpg, png, pdf, Max. file size: 8 MB.

Phone

This field is for validation purposes and should be left unchanged.