Zen Supermom - Assessment Application

Zen Supermom - Assessment Application

This application helps us understand whether an assessment call is the right next step for you. There are no right or wrong answers. This is not about being “good enough.” Please answer honestly and take your time. Submitting this application does not automatically mean a call will be booked.
Q1. What made you apply for an assessment now?*
Q2. Which of these feels most familiar for you right now?*

I yell or explode under pressureI stay calm on the outside but feel overwhelmed or resentfulI repeat myself patiently until I shut downI freeze, disconnect, or go numbIt depends on the situation
Q3. When you react, what usually feels strongest in that moment? (There’s no need to overthink this - just choose what feels closest.)*

Pressure / urgencyNot being heard or respectedFeeling unappreciatedFear of being judgedFeeling alone with everythingI’m not sureOther
Q4. What have you already tried to change this pattern?*

Parenting courses or scriptsTherapy or counselingMeditation / breathworkSelf-help books or podcasts“Trying harder” / self-controlNothing yet
Q5. Which statement feels most true right now?*
Q6. If we discover this work is a good fit, are you able to prioritize it in your life right now (time, energy, focus)*
Q7. This work is a paid, guided process. Which statement fits best?*
Q8. What are you hoping this work would change for you or your family? (This doesn’t need to be perfect - just honest.)*
Q9. Is there anything important you want us to know before deciding on next steps?
Q10. Please confirm (ALL checks are required):*

I understand this application does not guarantee a callI understand the assessment is not a therapy sessionI understand this is a paid program if we move forward
Your name*

First NameLast Name
Your best email address where we can contact you back*
example@example.com
source
We will respond to your assessment within the next 2 work days, from hi@zensupermom.com email address. (Check your other spam folders, in case you don't see it in your mailbox by then.)
Should be Empty: