Thank you for submitting your inquiry regarding our services. Based on your preliminary responses, we would like to invite your response to the following questions. Please take your time in answering. The thoroughness and mindfulness of your responses will be carefully considered as we determine whether our services would be of particular benefit to you. Your Name (required) Your Email (required) 1. Please describe, in vivid detail, the last frightening nightmare you experienced. If you cannot recall a particularly notable nightmare, please reply with "none." 2. Please describe, in vivid detail, the last pleasant dream you experienced. If you do not remember any recent dreams that were pleasant or wonderful, please reply with "none." 3. Please describe, in detail, the last time someone unexpectedly extended themselves to you in a thoughtful and profound way. 4. Have you ever experienced an unexpected traumatic episode, such as random violence, a serious accident or other incident. If so, please describe this event in detail. 5. How many close friends do you have? 6. Are you satisfied with your physical health and wellness? Why or why not? 7. Are you satisfied with your mental and emotional health and wellness? Why or why not? 8. Please recall a specific event in your life that falls into one of the following categories: a) family or friend based, b) thrill-seeking recreation, c) educational or cultural exploration or d) sexual intimacy or exploration. Please describe this one event in specific detail and explain why it is meaningful to you. 9. Do you trust the financial institution that you conduct banking with? Why or why not? 10. Do you ever feel anxious about forgetting? Thank you for your responses. They will be carefully reviewed by our intake team. A client services representative will be in touch regarding next steps, if appropriate. That which is fleeting, we keep forever.