Healing Support & Wellbeing Check-In
A personal reflection on your current mental, physical health and wellbeing
What led you to seek support or information today?
Ongoing stress or anxiety
Physical discomfort or tension
Emotional overwhelm or burnout
Feeling disconnected from myself
Wanting deeper healing or personal growth
I'm not sure, I just know something needs to change
Other
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How long have you been experiencing this challenge?
A few weeks
A few months
Over a year
Most of my adult life
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On a scale of 1-10, how us this currently affecting your day to day life? 1 = Barely noticeable, 10 = Affecting my wellbeing, energy, or happiness
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What have you already tried to support yourself?
Meditation or breathwork
Talking therapies or counselling
Medication
Exercise or lifestyle changes
Energy or holistic healing
I haven't tried much yet
Other
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How supported do you currently feel in your healing journey?
Very supported
Somewhat supported
Not very supported
I feel like I'm doing this alone
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If nothing changed over the next 6-12 months, how would that feel for you?
I'd manage, but it wouldn't be ideal
I'd feel frustrated or disapointed
I'd feel stuck or hopeless
I don't want things to stay the same
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What would you most like to experience instead? Example: "More calm, clarity confidence, relief, energy, connection..."
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How open are you to receiving guided support rather than doing this alone?
Very open - I'm ready for support
Somewhat open - I'd like to explore options
Unsure - but curious
Not ready yet
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If a safe, supportive space was available to explore your healing more deeply, would you like to learn more about how I work?
Yes
Maybe
Not right now
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Would you like to book a complimentary, no pressure 15min call to explore what support could look like for you?
Yes - show calendar
Maybe later
Not right now
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Happy to help :)
If you answered yes or you would just prefer some information right now, please leave your name and email below so I can send you the right stuff and a call booking link.
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