Life Questionnaire - Sunflower Petals Life/Health Coaching

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Free Life Questionnaire. Let's Get to Know One Another

SUNFLOWER PETALS CONFIDENTIAL QUESTIONNAIRE

THIS IS ALL ABOUT YOU. THEREFORE IT IS AT THE UTMOST IMPORTANCE TO ANSWER THIS CONFIDENTIAL QUESTIONNAIRE WITH TOTAL HONESTY. REMEMBER I DO NOT HAVE “YOUR ANSWERS,” YOU DO...ALLOW ME TO TAKE THIS JOURNEY WITH YOU TO FIND THEM WITHIN YOURSELF. However, please answer the questions thoroughly. One or two word answers will not get the results you seek.

NOTE: IF YOU DO NOT HAVE TIME TO ANSWER THESE QUESTIONS, THAT MAY BE AN INDICATION THAT YOU DO NOT HAVE TIME TO SHIFT YOUR LIFE IN BECOMING YOUR BEST SELF. Please schedule your FREE Consultation while offer stands. Thank You.

1. LAST NAME, MIDDLE INTIAL, FIRST NAME*

2. AGE*

3. OCCUPATION*

4. PLEASE PROVIDE THE BEST PHONE NUMBER TO REACH YOU. *

5. PLEASE PROVIDE A VALID EMAIL ADDRESS FOR COMMUNICATION PURPOSES.*

6. ARE YOU EXPERIENCING ANY PAIN OR DISCOMFORT IN YOUR BODY RIGHT NOW AND IF SO WHERE AND FOR HOW LONG?*

7. WHAT DO YOU ENJOY DOING? WHAT DO YOU DESPISE DOING?*

8. WILL THIS SESSION BE FOR YOURSELF ONLY OR WILL SOMEONE ELSE BE ACCOMPANYING YOU? IF SO WHO?*

9. THERE ARE 5 "LOVE LANGUAGES" WHICH ONE DESCRIBE YOU/SIGNIFICANT OTHER?*

1. GIFTS OF SERVICE 2. WORDS OF AFFIRMATION 3. QUALITY TIME 4. GIFTS 5. PHYSICAL TOUCH...PLEASE LIST IN ORDER OF IMPORTANCE

10. ON A SCALE OF 1- 10 HOW SATISFIED ARE YOU WITH YOUR PRESENT REALITY? And what does that look like?*

11. ON A SCALE OF 1 - 10 HOW MOTIVATED/DEDICATED ARE YOU TO DEVELOP*

THE STRATEGY TO CHANGE YOUR PRESENT REALITY? And what does that look like?

12. DO YOU FIND YOURSELF FEELING "STUCK" IN RELATIONSHIPS, MONEY, HEALTH OR CAREER? WHY?*

13. HOW HAVE THESE BELIEFS POWERED OR DISEMPOWERED YOU? Please explain.*

14. DO YOU BELIEVE THAT FATE PREDETERMINES YOUR ULTIMATE SUCCESS IN LIFE? WHY? OR WHY NOT?*

15. HAVE YOU OR SHOULD YOU EXCEPT THIS BELIEF AND WHY?*

16. ARE YOU A… 1. Visual 2. Audio 3. Kinetic…Learner? Please Explain.*

17. WHAT DO YOU REALLY GET EXCITED ABOUT? Please Explain. *

18. WHAT DOES OTHERS THINK AND SAY ABOUT YOU? And how does that make you feel? *

19. WHAT DO YOU THINK AND SAY ABOUT YOURSELF? And how does that make you feel? *

20. WHAT ARE YOUR EXPECTATIONS/ WHAT DO YOU HOPE TO ACCOMPLISH*

FROM YOUR SESSIONS?

21. TELL ME “YOUR” STORY…AS “YOU” SEE IT. *

22. AS A CHILD, WHAT MADE YOU THE HAPPIEST?*

23. AS A CHILD, WHAT MADE YOU THE SADDEST?*

24. AS A CHILD NAME THREE THINGS YOU DESPERATELY WANTED AND WAS NOT ABLE TO HAVE*

25. HAVE YOU NOT FORGIVEN SOMEONE THAT HURT YOU AS A CHILD?*

IF NOT, HOW HAS THAT EXPERIENCE AFFECTED YOUR LIFE TODAY?

26. BETWEEN YOUR MOTHER AND YOUR FATHER, WHAT 3 THINGS DEVASTATED*

YOU AS A CHILD AND HOW DID THEY MAKE YOU FEEL?

27. WHAT ARE YOUR LAST THOUGHTS BEFORE DRIFTING OFF TO SLEEP?*

28. WHAT ARE YOUR FIRST THOUGHTS UPON AWAKENING IN THE MORNING?*

29. NAME THREE DOMINANT THOUGHTS YOU ARE THINKING THROUGHT OUT THE DAY?*

30. WHICH TIME(S) BEST FIT YOUR SCHEDULE?*

31. DO YOU UNDERSTAND, YOU WILL BE HOLDING YOURSELF ACCOUNTABLE FOR*

HOW SERIOUS YOU ARE IN CHOOSING TO TAKE THESE SESSIONS AT HEART. NO ONE CAN HELP YOU WITH THAT...BUT YOU.

32. PLEASE GO TO THE FEE AND SERVICES PAGE AND CHOOSE YOUR PACKAGE. THE FEES WILL BE AUTOMATICALLY DEDUCTED MONTHLY.*

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Answer Our Health Questionnaire