Pre-Session Questionnaire

Name

First Last

2. Email*

3. What has been happening since our last session? Be specific.*

3. What has been happening since our last session? Be specific.

4. Describe the process of practicing/attempting/completing any and all assignments since our last session.*

4. Describe the process of practicing/attempting/completing any and all assignments since our last session.

5. Did you find the process easy, moderate or difficult? Why?*

5. Did you find the process easy, moderate or difficult? Why?

6. What new issues OR awareness have come to light this week?*

6. What new issues OR awareness have come to light this week?

7. What has your mindset been since our last call?*

7. What has your mindset been since our last call?

8. What would you like to focus on for our next session?*

8. What would you like to focus on for our next session?

9. On a scale of 1-10, rate your current level of fulfillment.*

9. On a scale of 1-10, rate your current level of fulfillment. 10 is The Highest Level of Fulfillment 1 is The Lowest Level of Fulfillment