Accountability Consult Survey!

Your name? *
Your name?
Are you able to handle 1 email a week, for a total of 4 weeks, every month? (This is how your materials will be delivered)
Are you willing to (also) sign and date an honorary written agreement acknowledging that you are responsible for yourself, your health and your ultimate wellbeing, but that so long as you are interested and it proves to be necessary you are choosing to take me on as an accountability ally?
Accountability Work Desired? *
Which accountability work do you wish to engage in? (Check all that apply)
Provide me with a little description about what you know of yourself now and what you believe is needed by you:
Multidisciplinary or Race & Philosophy Clients:
Which form of reflection do you prefer, if any?
The Economic Dream: *
What would you be willing to pay for these monthly, personally curated accountability ally services, money allowing? (Check all that apply)
The Economic Reality: *
What are you *able* to pay for these monthly, personally curated accountability ally services? (Be honest and check all that apply!)
If you can afford to pay more, would you be willing to pay more if it meant a sliding scale of pricing for those less able to afford my self-care work services at this time?
Are you somebody who would prefer barter or trade and payment type pricing for my services?
If yes to barter or trade, what would you like to offer as barter or trade? (Feel free to list more than one thing).
Are you interested in Weekly services (everything pertaining to each week delivered at the beginning of associated week) and Weekly payments (billed week-to-week)?
Are you interested in Weekly services (everything pertaining to each week delivered at the beginning of associated week) and Monthly payments (billed once a month)?
Start Date? *
Start Date?
When could you start, aka, "strike an agreement?"
Any questions for me?