Your Name (required)
Your Email (required)
What do you feel you need most from our coaching session?
What’s your current stress level on a scale 1-10? 10 being the highest?
What causes the most stress in your life currently?
Do you have a core support group?
Do you often feel suicidal or unwanted?
Do you currently deal with depression? Or have you been diagnosed with depression?
What is your greatest trigger that causes depression?
How do you handle stress and depression? Do you have any stress relief outlet?
Would you describe yourself as pessimistic or optimistic?
What are you looking to achieve from our coaching sessions? What are your top 3 goals?
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