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Discovery Session Questionnaire
Thank you so much for taking the time to fill out this questionnaire. It will enable you to get clearer on the work you would like to do with me and help me serve you better on our Skype call. Looking forward to meeting you soon. Nicky x
Email address *
Full Name *
Your answer
Skype Name *
Your answer
Phone Number *
Your answer
Website (if applicable) *
Your answer
At present what are your biggest challenges? *
Your answer
How are these challenges affecting your health, your life and your wellbeing? *
Your answer
If I waved a magic wand and you could have it any way you wanted – what would you life, your health look like? In other words, how would you want to feel in yourself and your life? How would you like to be living? *
Your answer
What are your intentions for yourself, your health and your life over the next 3-6 months? And what would accomplishing these mean to you? *
Your answer
On a scale of 1-10 how committed are you to transforming your health and life? (10 being extremely committed, 1 being not at all)? Please be as honest with yourself as you can here. It's important to know clearly where you really are in relation to how ready you are to do the work and surrender to the process of change. *
Your answer
What do you think your main challenges, beliefs and fears would be that would get in your way of your full transformation? *
Your answer
On a scale of 1-10 how committed are you in investing yourself, in your transformation, healing and wellbeing? Both in energy, focus and financially? (10 being extremely committed, 1 being not at all) *
Your answer
Have you ever done transformational or macrobiotic counselling, therapy or life coaching before? If yes please let me know with who? *
Your answer
Did you achieve what you wanted to from those sessions? If yes please let me know why and if no please let me know why? *
Your answer
Anything else you would like to share with me before we speak? *
Your answer
A copy of your responses will be emailed to the address you provided.
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