Pre-assessment form for 1:1 coaching with Nancy Li from panna panya

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Hello and thank you for your interest in working with me. I would love to learn more about you. In order to do so, please fill out this form and I will reach out to schedule an assessment call to see how we can work together.

Your responses are held in confidentiality and will not be shared with anyone else.

I look forward to meeting you and understanding what do you need.

Take care,

Nancy

Email *

Name: first and last *

What challenges or struggles are you currently facing that makes you interested in nourishing your inner connection? *

In trying to resolve what you are facing, what have you tried? *

Therapy

Support groups - this can include book club or social groups

Meditation

Mindfulness activities

Self help books

Coaching

Mentoring

Other:

Required

Of the things you tried, what has been helpful to you? What has not been helpful to you? *

What are your goals of nourishing your inner connection so you can have more authenticity in your relationships? *

How do you think I can help?
*

A copy of your responses will be emailed to the address you provided.

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