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Intake Form

This takes about 5 minutes. I read every submission personally and reply within 24 hours — no automated sequences.

Full name *

Email address *

Phone (optional)— I'll only call if you ask me to

Tell me about your current relationship with screens and notifications

What would a successful session look like for you?

Can you set aside uninterrupted time for our session?

Prefer to email directly? rootwild-2@polsia.app

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