Let’s work together

Small group and individual Art Therapy will begin summer 2025. Please fill out the form below and I will be in touch soon to schedule a consultation.

Name

First Name

Last Name

Phone

(###)

###

####

What city and state do you live in?

Date of Birth

YYYY

Gender

What services are you interested in?

Individual Art Therapy

Small group Art Therapy

One-on-one coaching

Small group coaching

Online course

Other (share in answers below)

How did you hear about Maud & Moon?

Why are you interested in Art Therapy or coaching at this time?

What is your previous experience with counseling or coaching (if any)?

What is most important for me to know about you to be effective as your therapist or coach?