First Name

Last Name

Email

What is prompting you to reach out at this time?

What are you hoping to gain from working with me?

What are you currently doing professionally?

What are you wanting to do that you aren't?

What do you feel is holding you back?

What negative thoughts do you hold about yourself?

How do you self-sabotage?

What tools and healthy coping behaviors do you use?

Do you have a spiritual connection?

How do you connect with your higher guidance and how often?

What is your sleep like?

What is your relationship with food like?

Do you get enough water in your day? (It is recommended to get half your body weight in ounces)

What is your daily movement like?

Does your environment and surroundings keep you from being productive and moving forward? If so, explain?

How is your financial health?

How is your romantic relationship?

How are your personal relationships?

What do you do for fun and enjoyment?

Do you feel you are aligned with your purpose?

What are gifts and talents you have that you aren't using and why?

List all your fears.

What are wounds that need to be healed for you to move forward?

If you weren't afraid, what would your life look life?

What will hold you back from committing to this process?

What thoughts can you begin to have about this?

What immediate actions can you take now?