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Introductory Questionnaire
Please answer the questions below, so I can prepare for our first session together.
What name would you like me to use with you (a nickname)?*
How did you find out about the Feminist Unicorns?*
word of mouth/referral
search/website
social media
other
How would you describe how you feel in your own life most days?*
flat or numb - going through the motions
busy and functional, but something is missing
overwhelmed and running on empty
restless, like I have outgrown something but don't know what
a mix of the above, depending on the day
In one sentence, tell me what made you sign up for this program.*
Can you think of a time when you felt most like yourself? Most alive, free, or fully you? *
Finish this sentence: "I used to be someone who..."*
One a scale of 1-10 (10 being most connected), how connected do you feel to who you actually are right now?*
1
2
3
4
5
6
7
8
9
10
Where in your life do you feel most unlike yourself (most tamed)?*
my career/work
my body (how I feel in it)
my joy, play, and free time
my relationships
how I express myself/my style
all of the above
What does your inner critic (your goblin) say to you most often?*
What would you want to be different about your daily life by the end of this program?*
What scares you about this process?*
On a scale of 1-10 (10 being most ready), how ready do you feel to do the work (including the uncomfortable parts)?*
1
2
3
4
5
6
7
8
9
10
Have you ever worked with a coach before?*
yes
no
Is there anything else you want to share about your life (any important or sensitive topics)?*
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Kathleen Perkins
USA
thefeministunicorns@gmail.com
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