As we begin our time together, I would like to learn more about you and how I can best serve you over the next three months. Your responses will remain confidential, and will help us create an individualized plan just for you.

I'm looking forward to working with you!

Christen

ABOUT YOUR PHYSICAL, MENTAL AND EMOTIONAL HEALTH

What are your primary physical health concerns?

What are you currently doing to support your overall health with regards to diet, sleep exercise and lifestyle?

What are your more pronounced mental and emotional stressors?

Do you have any problematic or disharmonious relationships? If so, which ones?

Are you struggling with any vocational or career challenges?

Tell me about your spirituality and do you need support here (path, purpose, joy and connection)?

How do you sabotage yourself or defend old patterns that don’t serve you? How would you like me to support you when I recognize these patterns?

ABOUT YOU:

What do you love most about your life?

What in your life requires your immediate focus?

What is the biggest concern you have right now?

What is the biggest opportunity you have at present, that you may not be stepping into, fully?

ABOUT OUR WORK TOGETHER:

During our established time (3 months) what would you like us to focus on primarily?

What are you top 3 goals or intentions? - meaning the specific and tangible things that you want to accomplish in the next 3 months...

At the end of 3 months, what will be better or different because of our work together?

Name:

Email:

Phone:

THANK YOU!