Consultation Congratulations on taking your first big step. Below I have developed some insightful and valuable questions for you to answer before our first call. Please set aside some time to be thoughtful and present when you answer. As you work through them take your time and give detailed, focused and honest answers.Important! Don’t be too general with your answers. The more information you can give me the more I am able to serve you. Be specific about the dreams and goals that you have. When you take the time to really be present as you answer you will find your mind begins to open to all kinds of possibilities.When you have completed the questionnaire click on the submit button and your answers will be emailed directly to me. Your information will be kept strictly confidential at all times. Contact InformationFull Name * Name you prefer to be called Office Phone * Cell Phone * Your Email * Street Address* City * State/Province * Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--District of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana IslandsPostal Code * Website Skype ID QuestionnaireDescribe your current employment, how long you have been doing it and describe how much fulfillment it brings you as well as what you like and don’t like about it: How do you like to spend your leisure time? How much leisure time do you have? Name 7 things that you have wanted to do in the past year but didn’t do. How often do you exercise? What kind of exercise do you do? Do you take any medication or supplements? If so describe what kind and dosages. How would you describe your diet in general? How much sugar do you consume? Do you drink alcohol? If so how much, how often and what kind? Do you do any recreational drugs? Please describe type and frequency. Do you meditate? If so what types of meditation do you prefer? Are you currently in a relationship? Do you feel supported in your endeavors by your partner? If you are not in a relationship do you have a support system? Identify two things that you would like to see change in your life in the coming year. Describe any sources of frustration that interfere with your ability to create change or your productivity. What is your long-term vision for yourself? Tell me something fun and interesting about yourself. Thank you for taking the time to complete this complimentary Discovery call application. Once submitting your answers, you will receive an email request to schedule your appointment.Please leave this field empty.