We're so wicked excited that you are putting yourself out There and registering your interest to Take the Leap!

This program is the realization of a dream  and vision I have had for quite some time to create incredible transformation not only for patients and families but for frontline clinicians - professionally and personally! 

Program engagement is paramount to individual and group goal attainment. Successful applicants commit a minimum of 4-hours per month to their program participation. This includes attendance at the 3 monthly 1-hour group calls, weekly contribution to the closed FaceBook group, and participation in the monthly 1:1 momentum calls.

Please find a quiet place to complete this questionnaire, it may take more than a few minutes to collect your thoughts and provide responses that truly reflect your current state.

Once you have submitted your questionnaire, and it looks like you're a good fit for this program, let's schedule a time to talk!                                 

We'll respond to you within 48 hours of your submission.                                                               

Take care and care well!  Mary & Mel

What lies behind you and what lies in front of you, pales in comparison to what lies inside of you.
— Ralph Waldo Emerson
Name *
Phone *
Address *