Pre-session questionnaire

Questionnaire Pat - Richer Life Journey is a holistic healing, guided meditation and spiritual wellness center focused on empowerment, personal growth, self awareness and energy healing.

Pre-session questionnaire

Name

First Name

Last Name

Email Address

Best Phone Number to Contact You

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What prompts you to come to Richer Life Journey? Describe the issue (s) on which you seek healing/empowerment.

Have you done (or currently doing) any work/therapy/healing on this issue? If so, can you briefly describe that process?

Can you tell us a little about your family background - information that may help us in helping you?

Is there any information about other life circumstances that would facilitate our helping you? (work, relationships, etc)

Have the issues for which you are reaching out affected your mental functioning?

As you experience this issue in your daily life, are you in touch with any spiritual resources, i.e. a power beyond yourself that is helpful/belief system/notion of God/spiritual support system? If so, please briefly describe.

Please describe your level of over all life-energy.

Are you currently on any medication?

Is there any other information that would be helpful for us to know?

How did you hear about Richer Life Journey

Please add any additional comments important to you. Thank you!

Pre-session questionnaire

Create a rewarding life through healing, empowerment and renewal!