INTUITIVE COACHING INTAKE

I would like to first honor you for taking this all important step towards sustainable wellbeing and freedom from limiting manifestations that have held you back caused you to shrink from your potential. 

Together we will help you peel back the layers and find lasting expansion. But first I need to get a bit of background information. Please answer these questions in detail and with an open heart. Being vulnerable is easier for some than it is for others but vulnerability is an essential aspect of this process. Therefore I encourage you to answer each question with a deep reverance for your capacity to be vulnerable and with the knowledge that everything you submit is 200% secure and shared with no one. Because this is a modern therapeutic setting all that is shared is bound by both a spiritual and practical confidentiality. Barred any threats to the self or others nothing you share will be disclosed to any other body, official or otherwise. 

if you are unsure how to answer a question please leave n/a and we will come back to it. 

 

Name *
Name
If you had to average the amount of your day is devoted to spiritual pursuits, meditation, ritual, healing etc. what would that percentage be?
How much of your day is spent tending to what you feel you "have" to do?
Do you feel that most of your day is spent in a vibration/system of worth that is manifesting what you do not want? Or do you feel its fairly balanced between the two?
Relationship Status *
Please check the appropriate box
Mind, body, spirit or all areas?
Share what is presently bothering you here. What are you looking to iron out, transform or change?
Please list other important relationships in your life, the nature of the relationship as well as a descripter of said relationship. For example is the relationship close, just ok, poor or totally disengaged? Include parents, siblings, friends, lovers etc.
Are you currently diagnosed with a mental or emotional manifestation? *
This could include depression, social anxiety etc.
Are you currently dependent upon substances? *
This includes both legal, illegal and prescription substances
What is the highest level of education completed? *
Do you feel your current level of edcation is sufficient for what you desire to do in your career? *
Do you feel blocked in manifesting the life you desire? *
Do you believe in the premise that you are a spiritual being having a physical experience? *
Are any religious or spiritual beliefs causing guilt, shame, anger or any other affliction? *
Do you believe yourself to be an intuitive being? *
Do you feel you are on the right path? *
Do you meditate? *
Are you pleased or satisfied with your soothing methods? *
How do you destress? How do you cope? How do you self soothe? Are you satisfied with these tactics or would you like additional support?
Are you energetically or emotionally sensitive? *
This includes being empathic and picking up on others emotions. Do you see auras? Do you pick up on the energy of other people or spaces?
Are you comfortable with your body? How do you treat your body?
Please get detailed in explaining your sleep routine, the quality of sleep and how frequently you awake in the night.
Please complete this sentence. Get as detailed as you feel called.
Please complete this sentence. Get as detailed as you feel called.
Please complete this sentence. Get as detailed as you feel called.
Please complete this sentence. Get as detailed as you feel called.
Please complete this sentence. Get as detailed as you feel called.
Please complete this sentence. Get as detailed as you feel called.
Please complete this sentence. Get as detailed as you feel called.
Please complete this sentence. Get as detailed as you feel called.
Please complete this sentence. Get as detailed as you feel called.
Please complete this sentence. Get as detailed as you feel called.
Is there a particular tool that you feel called to work with therapeutically such as Tarot, sound therapy, tapping etc.?
Are there certain approaches, words, mannerisms etc. that trigger you in some way?
Some people live for journalling, others would rather play in traffic-different strokes for different folks. Is there anything you absolutely refuse to do therapeutically speaking?

Please choose from the dates listed your appointment time. If you have a need for different hours than those listed please reach out direct to Laura@ofspiritandbone.com