NLP Questionnaire

Please take a moment to answer these questions to the best of your ability, so I can get a better idea of what techniques & support will be most helpful for your intensive or session(s) with me. I will connect with you via email after I review your form. Thank you!

Name

First Name

Last Name

Tell me a little bit about what you're struggling with and/or what you are most interested in working on/working through with NLP.

What is this particular struggle(s) preventing you from doing/being/having? (if applicable)

Are there any beliefs/unhelpful thoughts you are aware of, that come up for you consistently & hold you back? (for example beliefs/thoughts that show up/manifest as excuses, self-sabotage, assumptions, anxiety/worry, etc.)

Are there *new* beliefs you'd like to have instead? Or, how would you like to feel/feel about yourself instead?

Are there any current habits/behaviors you'd like to shift that would support you getting where you want to be or feeling how you want to feel?

Is there a decision to make that you are currently conflicted about in which part of you wants to do/be/have one thing and part of you wants to do/be/have another? If so, tell me a little about that.

Are you familiar with NLP? If yes how so & what is your general understanding of it?

Is there anything else you would like to share with me before we speak?