Maria Bruce | SimplePractice

Your info

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Reason for care

This practice provides Executive & Optimal Performance Coaching (not psychotherapy or crisis services). What type of support are you seeking? (Select all that apply)

Executive & leadership performance High-stakes communication (public speaking, media, interviews) Stress and nervous system regulation Focus, follow-through, productivity Performance in sport, arts, or public-facing work Personal or professional transition Not sure yet — open to discussing fit Psychotherapy or clinical mental health treatment (not currently offered; I will follow up to clarify appropriate support)

Billing & Payment

Coaching is offered on a monthly retainer basis and typically includes 50-minute virtual sessions. Please confirm you have reviewed the current coaching structure and rates:

Yes - I understand coaching begins at $1,500/month (2 sessions) or $3,000/month (4 sessions), primarily virtual, with limited between-session support as outlined in the coaching agreement, which is shared for review prior to commitment. Yes - I’m interested in occasional on-site sessions (starting at $900/session, by separate arrangement and location-dependent) This is not the right fit for me at this time

Client Preferences

Where are you currently based, and do you travel frequently?

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Administrative

Please complete this form even if no appointments or consultation times are currently available at your preferred times. Inquiries are reviewed to assess fit and future availability.

If you have any additional questions or need clarification, please feel free to share them below.

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For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.