Please take a few moments to share about whatever's going on in your life that led you to schedule this call. You are welcome to provide as little or as much depth as you like. Note that questions ending with an (*) require a response.
Before diving into the questions that follow, take a moment to connect with your center. Consider taking a few moments to inhale deeply and exhale fully. Notice any tension you may be feeling and visualize it dissipating with each exhalation.
Now, let's get started...
What is your preferred name?*
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What pronouns do you use?
{"type":"text","name":"pronouns","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
Where on Planet Earth do you live, and what is your time zone?*
{"type":"text","name":"location","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":""}
Please indicate your general availability by selecting all time slots that would work for you. Note that all times are for Chicago (CST/CDT).*
{"type":"checkbox","name":"__generic","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please check at least one item.","options":"Monday mornings, starting between 7:15 & 8:15am\nMonday evenings, starting between 5:30 & 7pm\nTuesday mornings, starting between 7:15 & 8:15am\nThursday mornings, starting between 7:15 & 8:15am\nThursday evenings, starting between 5:30 & 7pm\nFriday mornings, starting between 7:15 & 8:15am\nSaturday mornings\nNone of these work...got anything else?"}
Should you become a client, your sessions will typically be scheduled during the same time slot. Please share anything else you'd like me to know about your availability.
{"type":"textarea","name":"__generic2","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
How did you originally discover me?*
{"type":"textarea","name":"discoverySource","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"If it was from a Google search, what were you searching for? If you were referred, who referred you?"}
{"type":"textarea","name":"whyWayfinding","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Please share as much detail as you'd like."}
Is there anything in particular that you'd like to get coached on during our call?
{"type":"textarea","name":"topic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":"This is optional, but our time together will be better spent if you come to our call with a topic for exploration."}
Tell me about your support network. Also, are you working with a therapist?*
{"type":"textarea","name":"support2","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
Are you contending with challenges that affect your day-to-day functioning, e.g. depression, anxiety, trauma, etc.? If so, how are you managing them?*
{"type":"textarea","name":"__generic3","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
Thank you for taking the time to complete this questionnaire!
During our call, we'll explore what's going on, our energies, and whether working together might make for a good fit. And, we'll do a little Wayfinding! I look forward to our call!
With gratitude and love,
Kristi