Identity Scan

IDENTITY SCAN

Please fill out this form with full honesty and intention. No need to pretend to be anyone but yourself. I’m here to get to know the real you and see through the noise.

Name

Email (please make sure you enter it correctly)

1. Tell me about you. Who are you, and what do you do?

2. What’s your relationship status?

3. What does a typical day in your life look like?

4. What made you want to work with me right now? (Why now, and not in six months? What’s going on that makes this feel urgent or necessary?)

5. What’s the core situation or area you want my help with? (The more specific, the better.)

6. What are your top 3 struggles right now?

7. What do you believe is causing these challenges?

8. How are these struggles impacting your day-to-day life?

9. What have you already tried to solve or change this? (List it all. Coaches, therapists, podcasts, meditation, etc.)

10. What’s something that feels uncomfortable to share, but feels important for me to know?

11. What do you expect from me or our journey together? What end goal(s) do you want to reach to consider our work "successful"?

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IDENTITY SCAN

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