Let's Customize Your Reset

This brief assessment helps us understand your unique needs and create a personalized program designed specifically for you. Your responses are confidential and help us ensure Reset Recovery is the right fit.

✦Highly Selective & Intimate

Reset Recovery is intentionally small. We accept only 4 guests per week to ensure the highest level of personalization, privacy, and professional attention. This assessment helps us determine if this program is right for you and if we have availability that matches your needs.

Personal Information

Full Name *

Email *

Phone Number *

Age

Profession / Occupation

Understanding Your Needs

What is your primary concern or reason for seeking Reset Recovery? *

Substance or behavioral history (if applicable)

Have you had previous treatment or therapeutic support?

Customizing Your Program

Which support modalities resonate with you? (Select all that apply)

Somatic experiencing & body-based healingYoga & movement practicesMeditation & mindfulnessCognitive-behavioral approachesNutritional support & educationGroup sessions & shared learningIndividual coaching sessions

What are your specific goals for this week?

Availability & Next Steps

When are you looking to attend? (Approximate dates or timeframe) *

Anything else we should know?

* Required fields. Your information is confidential and will only be used to customize your program and confirm availability.

What Happens After You Submit

We Review Your Assessment

Within 24 hours, we review your responses to understand your needs and ensure Reset Recovery is the right fit for you.

Initial Conversation

Randi will call you to discuss your goals, answer questions, and determine if we have availability for your preferred dates.

Program Customization

If we move forward, we'll create your personalized program based on your needs, preferences, and the modalities that resonate with you.

Your Reset Week

You arrive for your seven-day reset, ready to interrupt patterns, learn, and return to yourself steadier and clearer.

Your Privacy Matters

Everything you share in this assessment is completely confidential. Your information is never shared, never used for marketing, and never disclosed to anyone outside our team. This is a safe space to be honest about where you are and what you need.