What is the main issue(s) you would like to see shift? If you could achieve only one goal, what would it be? What would be a good outcome? What is stopping you from being fully you? *
Your answer
What is your biggest fear in life? *
Your answer
Who/What do you think has power or control over you? (Money, family, trauma, illness, etc.) *
Your answer
Was there perinatal, birth or postpartum trauma or medical interventions with you or your mother? *
Your answer
What is your heritage and who immigrated? Why did your family come to this country? *
Your answer
Have you or anyone else in your family had a special or difficult fate such as illness, dying young, wanting to die or a disability? *
Your answer
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