Working Together Attachment, Type, and Trauma

Here are a few questions to get started. Please let me know as much or as little as it suits you. This form is specifically for attachment and trauma work. Before answering below, you might want to watch the attachment video found here.

The free personality hacker assessment link is here.

Your information is confidential and nobody besides me sees your answers.

First Name

Last Name

Phone/Mobile

Do you prefer email and/or text?

Text

Either

When /if you watched the attachment video, what was your response?

When you think of your bio parents, how do you feel?

Unconditionally loved and appreciated

Loved with a few strings attached

Confused and sad

Distant and hurt

Something else

Explain any of your answers above (if needed)

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 and I like learning how to be more effective and understand myself.

I'm still sorting this out.

Explain any of your answers above (if needed)

Have you used EFT, aka tapping, successfully for yourself in the past?

Nope. 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 someone else with success.

Used EFT with someone else with varied success.

Used EFT with a practitioner with success.

Something else.

Explain any of your answers above (if needed)

If you were to work with me on attachment, trauma, and personality, which of these applies to you?

I'm still exploring whether or not I need outside help.

I'm interested.

This feels important but I'm not ready.

Something else (explain below if you want)

Anything else you'd like me to know?