There is still a part of us that operates on out dated beliefs and broken habitual patterns. This can cause us to feel unhappy and stuck in how we go about living life and developing our future. How we view ourselves is very important. I know this, because I've been there. You need to believe in yourself first before anyone else will. Taking a moment to complete these questions for yourself will help you start making the internal changes that are required for you to stay with the changes you set out to make for yourself. Start creating more of the life you desire even if what you desire currently feels out of reach.
Answer these questions without any fear of judgement. This is a judgment free zone. The more real & honest you are, the more I can help you in managing your current thoughts, emotions, and energies.
Name
*
First Name
Last Name
Email
*
example@example.com
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What is Your Preferred Method to Contact?
*
Phone
Text
Email
Social Media (if so specific which social plat form when giving contact information)
Other
Please Include Contact Information
*
If Social Media Please Leave Platform & Username
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What area of your life right now, do you feel the most "stuck" in? What areas in life do you wish to change the most?
*
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If you were able to improve any of those areas by 30% what would that do for you? How could it improve your daily life?
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What do feel is holding you back the most from taking action towards areas of your life you want to change?
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Are you are dealing with any emotional pain? If so are you able to name the emotion and where do you feel it the most? In your heart, mind, gut.. etc.
*
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What do you do when you feel pressure, anxiety, or stress?
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If you had unlimited time, money, and resources, what would you want to create?
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Is there anything else you want me to know about you?
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On a scale of 1 to 5 how open minded are you when it comes to developing new perspectives, taking small actions, & willing to invest in yourself personal development.
1
2
3
4
5
Very Little
Fully Open!
1 is Very Little, 5 is Fully Open!
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