All information is strictly confidential.
Relationship to the person with bipolar disorder (i.e., partner, parent, friend, etc.):
Name of loved one:
Age of loved one:
When was your loved one diagnosed with bipolar disorder?
Briefly describe your situation with your loved one:
How did you hear about Julie?
What search terms did you use to find Julie's coaching?
"Moodiness or Mood Disorder?"
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