Let’s skip the surface stuff. This is your space to name what’s real — so we can do the work that actually matters.
Please answer honestly — no need for polished responses. There’s no right way to do this. Just your way.
Question 1 of 14
When you think about why you reached out — what’s the real reason?
What moment, feeling, or pattern made you finally say “I need something different”?
Question 2 of 14
What part of your life feels most out of alignment right now?
Home
Parenting
Work or business
Relationship with self
Question 3 of 14
If All of the above in the previous questions → Tell me more about how this is showing up.
Question 4 of 14
What’s the story you’ve been telling yourself about this struggle?
(E.g. “I should know better,” “I’m failing,” “I don’t have time to fall apart,” etc.)
Question 5 of 14
When you’re triggered, what’s your default response?
I shut down and disconnect
I overfunction and do more
I spiral in self-criticism
I snap and then feel guilty
I pretend I’m fine but feel numb
Question 6 of 14
→ Describe a recent moment this happened.
Question 7 of 14
How would you describe your relationship with your own needs?
I meet everyone else’s first
I don’t always know what I need
I feel guilty taking up space
I’m working on it but still struggle
Question 8 of 14
→ Is there any additional information you would like to provide based on the previous question.
Question 9 of 14
What parts of your childhood do you suspect might still be shaping your reactions today — even if you’ve already done work on it?
Don’t worry about getting this perfect — just write what comes to mind.
Question 10 of 14
Rest
Boundaries
Regulating emotions
Staying present with your kids
Trusting your choices
Question 11 of 14
Something else?
Question 12 of 14
What’s one thing you’ve learned from all the inner work you’ve done… that still hasn’t clicked in your real life?
What insight are you tired of understanding but not embodying?
Question 13 of 14
What are you hoping shifts as a result of these sessions?
How do you want to feel — in your body, your mind, and your relationships?
Question 14 of 14
Anything else you want me to know before we begin?
This is your space. Share anything that feels important — or just take a breath and hit submit.