SPELLWORK INTAKE FORM Your Name * (Initial is fine for last name) First Name Last Name Email * Intended target of the working * (Initial is fine for last name) First Name Last Name Relationship status with this person * SELECT A RESPONSE Together Broken Up Are you in communication with this person? * SELECT A RESPONSE Yes No Description * Tell me a little about the situation Thank you! Please look out for a message from me regarding your form and the next steps in the process.
