Q1. What 3 areas have been the biggest struggles for you in this lifetime?

Q2. Out of the 3 areas above, which causes you the most pain?

Q3. What areas of your life do you think/feel are going well for you?

Q4. If you could make a wish and change one thing in your life... what would that be?

Q5. Do you set goals? If so, name three

Q6. Looking back over your life, what patterns have repeated themselves over and over again?

Q7. What were the last 3 books you read?

Q8. Have you ever utilized a coach before?

Q1. Are you happy with the way you look physically? If you could, what would you change?

Q2. Do you exercise regularly? If so, how frequent and what types of exercises do you do?

Q3. Do you smoke, drink, or take drugs on a regular basis? If yes to one or more please explain

Q4. Do you suffer from any addictions?

Q5. Are you currently in a relationship? If so, are you “happy” in that relationship?

Q6. If you could change one thing about your relationship, what would that be?

Q7. If you are not in a relationship, are you currently dating?

Q8. What do you do for fun, what makes you feel the most fulfilled?

Q9. Do you have difficulty with focus and concentration?

Q10. Do have any struggles with impulse control?

Q11. Have you ever received counseling for a personal struggle?

Q1. What do you do for a living?

Q2. Are you happy in your current role?

Q3. Are you in a leadership position?

Q4. What are your professional goals?

Q5. If you could do any job in the world, what would that be?

Q1. Do you belong to an organized religion? If so, what denomination?

Q2. Do you attend church?

Q3. What are your religious/spiritual beliefs?

Q4. Do you meditate? If so, how frequent?

Q5. Do you ever wonder who you are, and why you are here? If yes, what have to done to “search” for your truth?

Q6. Do you believe in psychic/intuitive ability? If not, why?

Q7. Have you ever experienced phenomena that you could not explain?

Q8. Do you experience de ja vu or synchronicity / coincidences?

Q9. What inspired you to fill out this form and seek my assistance?