UNBOX Discovery Self Assessment

Welcome to UNBOX with Sahar Palmer,
online Life Mentor & Holistic Therapist

When you complete and submit your mentoring
self-assessment form, I automatically receive a copy and will contact you over WhatsApp to schedule your Unbox Discovery session. You will enjoy the full hour session at a special rate for new clients.

Your Discovery session will help us to connect and identify yoru priorities, and whetehr we are fit. You will also get a feel of how I work and what to expect. My aim is to help you unbox & identify at least one issue to overcome it during your Discovery session.

Please book your Unbox Discovery Session with me, before starting your assessment.

Click here to book your Unbox Discovery Session.
First Name:*
Last Name:*
Date of Birth:*

DayMonthYear
Date
Today's Date:*

DayMonthYear
Date
Email*
Mobile Number with country code*

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Thank you for taking the first step towards becoming #UNBOXED. Please fill out your assessment, it will help us both identify where you are at before we connect on your complimentary Discovery Session:
1. Describe what might be in the way of your life right now, that’s holding you back? Complete what applies to you:
Blockages
Fear
Stagnation
Doubts
Feeling unfulfilled
Depressed
Confused
Other*
2. How long has this issue/situation been going on?*
3. Complete the following statements (without thinking about them)
My personal power comes from*
I'm inspired by*
Life is*
Happiness is*
The Future is*
4. Are you currently on any medication? Please list and describe what they are for.*
5. What SCORE out of 10 would you give the following from 1 to 1-10, ten being highest:
I'm satisfied with my life overall?*
I'm having FUN in life:*
I'm happy in my career:*
I usually feel overwhelmed, BUSY or stressed:*
Deep down, I like myself:*
6. What is your FAVOURITE thing in life at the moment (what do you like to do best right now)?*
7. What could be IMPROVED in your life at the moment (what do you like least to do right now)?*
8. Thinking about mentoring, I am looking for the following in my life (tick all that apply):

More Meaning/PurposeMore Fulfilment/HappinessMore Ease/Simplicity/BalanceMore Freedom/Inner PeaceChanging/moving up the next level in my CareerAchieving my Goals Faster/More EasilyMore self-trust/ Unbox The Real me
9. Regarding your current issue or struggle, what outcome do you hope for, and what are your goals once you enrol in Unbox?*
10. Imagine for a moment that your issue is resolved. How did you get there?*
11. Are you willing to invest in yourself and Unbox your fears and limitations and be free? (type your answer: Yeah (can't wait) or No) *
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