Initial Form | KateLyn Costa

Spend 5-15 minutes tops on these – it’s OK if you don’t have an answer we can talk about them together.

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1. What is one small thing that you’d like to change in your life right now?(Required)

2. What is the biggest thing that you’d like to change in your life right now?(Required)

3. What do you value most in life?(Required)

4. Think back to your thoughts from the day/yesterday/the week - what is a phrase/phrases that you tend to repeat?(Required)

5. Do you have a personal care routine or do any other wellness modalities you partake in?(Required)

6. What three words would you use to describe yourself?(Required)

7. What three words would others use to describe you?(Required)

8. What do you want to get out of working together?(Required)

9. What does your daily routine look like right now?(Required)

10. On a scale of 1 -10 how happy or satisfied are you with your life right now? What are the things that make you feel happy or satisfied?(Required)

11. On a scale of 1-10 how motivated are you in your work and personal life? What motivates you?(Required)

12. On a scale of 1 -10 how stressed do you feel right now – what are your key stressors?(Required)

Anything else important to know about?(Required)

How did you find me?

Searching, friend, family, social media, or other.

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