Parenting EOI Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Since our last session, what’s changed — even slightly — that feels important to mention?* This field is required.(Positive or challenging. Even small shifts matter.)

4

What emotion feels most familiar to you lately — and what do you think it’s trying to tell you?* This field is required.

5

Where in your life are you feeling the most tension or resistance right now?* This field is required.

6

What have you been feeling but not expressing lately?* This field is required.

7

What brings you to the Reset Session right now?* This field is required.(What made this feel like the right time to reach out again?)

8

What matters most to you right now — even if you’ve felt disconnected from it?* This field is required.(What made this feel like the right time to reach out again?)

9

What have you outgrown emotionally, mentally, or relationally — but haven’t let go of yet?* This field is required.(What made this feel like the right time to reach out again?)

10

What would you most like to get out of this 'Reset Session'?* This field is required.(This could be something you want to understand better, shift, let go of, or take with you.)

11

What’s a story you’ve been telling yourself lately — and is it helpful?* This field is required.(This could be something you want to understand better, shift, let go of, or take with you.)

12

If we had just one win in this session — what would you want that to be?* This field is required.(Even a small shift or insight counts.)

13

What belief about yourself do you want to challenge or rewrite?* This field is required.

14

Imagine this session goes exactly how you’d like it to. What would feel different afterwards?* This field is required.(How would you feel, think, or approach things?)

15

On a scale of 1 to 10, how ready are you to engage with whatever’s coming up for you right now?* This field is required.(1 = I feel hesitant, 10 = I’m fully ready to show up and explore)

16

What’s already working — even a little — that’s helped you manage or stay steady lately?* This field is required.(This could be a habit, mindset, boundary, or connection.)

17

What are you ready to say yes to — even if it feels a little scary?* This field is required.

18

What’s been hard to shift or carry on your own?* This field is required.

19

What’s one thing you’ve learned about yourself since our last session(s) — even if it surprised you?* This field is required.

20

What could get in your way in this process or moving forward?* This field is required.

21

What would you like me to know before we meet?* This field is required.(Anything you’re nervous about, hoping for, or want space for in the session.)

22

What do you hope becomes possible for you, even if you’re not sure how to get there?* This field is required.

23

One word or phrase that describes how you want to feel after the session.* This field is required.