Working Together Healing yourself, loving the world Working togetherIf 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 NameLast NameEmailPhone/MobileDo you prefer email and/or text? Text Email EitherAs you think about the area of your life that you’d like help with, do you feel? Nervous Excited Unsure Hopeful Something elseHow 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 elseWhen 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 elseWhen 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 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 with some success. Used EFT with a practitioner with little success. None of the above.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 no success. 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 elseIs the Enneagram part of your current toolkit? Yes, it’s a helpful part of my path. I know my type but that’s about it. Heard about before. New to me. I don’t like it at all. Something else (put in notes)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?Submit Form
