Schedule Session | 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.

Name *

First

Last

Email *

Phone *

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

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

3. What do you value most in life? *

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

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

6. What three words would you use to describe yourself? *

7. What three words would others use to describe you? *

8. What do you want to get out of working together? *

9. What does your daily routine look like right now? *

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? *

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

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

Anything else important to know about?