Spiritual Direction Intake Form

Spiritual Direction is offered 1:1 via Zoom at a rate of $100/hour. Typically, Directees meet monthly with their Director. Spiritual Direction is personal in nature, and it is important to align and feel comfortable and safe with the Director in order for the practice to be successful. The utmost in confidentiality is honored. Please complete the questionnaire below, and I will follow up for a complimentary session to connect and discern next steps. Please visit the link to my Spiritual Direction bio.

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Preferred method of contact.

Where are you located (City/State)?

What brings you to spiritual direction at this time?

What do you hope will be different as a result of our time together?

Tell me about the history of your relationship with God. What was your religious experience growing up?

Tell me about your present family.

Do you have any experience with therapy? If so, how was that experience for you?

Type a question

Other

Is there anything else you think I should know prior to meeting?