Working Together | Deborah Donndelinger

Working together

If you are interested in working together, here are a few questions to get started. Please let me know as much or as little as it suits you. Your information is confidential, and nobody else sees your answers.

Answer the questions that apply and ignore the rest.

First Name

Last Name

Phone/Mobile

Do you prefer email and/or text?

Text

Either

How long have you been aware this area of your life needs attention?

Just recently

It's been around a while and now's the time

A little while

Something else

When you think of the area you want to improve, does it feel tied to one specific problem or is it a lifelong pattern?

One specific, identifiable incident

Lifelong pattern

Don't know

Combination of both

Neither. It's something new I want to create.

Something else

When I think of how I am in the world, I feel:

Confident and sure of who I am.

I know I'm unique and sometimes it bothers me that I'm different from others.

I know who I am; I like learning how to be more effective and understand myself.

I'm still sorting this out.

How familiar are you with IFS parts work (Internal Family Systems)?

It's a brand new tool I'm hopeful will help me.

Used IFS for myself in the past with success.

Used IFS for myself with varied success.

Used IFS with an IFS practitioner with some success.

Used IFS with a practitioner with success.

None of the above.

How often have you used EFT, aka tapping, successfully for yourself in the past?

Never. It's a brand new tool I'm hopeful will help me.

Used EFT for myself in the past with success.

Used EFT for myself with varied success.

Used EFT with a practitioner.

None of the above.

When you think of your family history, your ancestral lineage, and what I call your Family Matrix, do you feel:

Supported, loved, and hopeful.

I don't think of that or it doesn't matter.

I don't think of that, it is too uncomfortable.

I have mixed feelings.

Something else

What would you like me to know about what you want to work on?

Recognizing that some changes happen quickly with a few sessions and some take longer covering several months, have you thought about the resources you have to devote to this change?

This is important; I am prepared to work weekly or twice a week as long as it is worth my time.

This is important but I'm have some limited resources. I will have to spread out the work.

I'm still exploring.

Something else (explain below if you want)

Anything else you'd like me to know?