Private Work Questionnaire.

The following questionnaire is a requirement to participate in some of our advanced activities, such as trips, vision quest, workshops, retreats or to start private sessions work in the form of counseling, coaching, personal training or mentoring.

  • For occasional individual sessions on general topics, you can use the basic questionnaire by following this link: https://forms.gle/81Leghw3nSmE9qFy9
  • If you only want information about an event, such as cost, available dates, etc. and you're not ready to request a personal appointment, visit our website and use our contact form to send your questions
  • Find more information about the modalities or private work here: https://toltecas.com/sesiones-individuales/?lang=en

The purpose of this questionnaire is to get some sense of your situation, which will be helpful to make our work together more productive and to better support you according to your context and needs.

Please answer the following questions concisely. Some of the questions are quite personal and I include them to better understand your situation. It is not mandatory to answer everything. If you do not feel comfortable answering some of the questions or if you consider that they are not relevant to the type of consultation or program that you are applying for, just leave that section blank. Only the questions marked with an asterisk are required to be able to send the questionnaire.

This application includes three sections:

General Information. These are questions about contact information and the general context of your life. It will be useful to save time during your appointment and make better use of the time of the session. 

Health information. Physical, mental and emotional health are relevant references in any personal growth project and the physical aspects are particularly important for activities in nature that could be included in your program.

Personal information. This information is optional, but in the case of consultations about personal issues, it can help you take a preliminary look at the general landscape of your life, as well as facilitating a more direct approach to some of the issues that may be important for you to address during our work together. 

Rest assured that every part of the information you provide shall be considered as strictly confidential. 

Please take the time to read our refunds and cancellations policy at the end of this application and make sure you understand it before clicking the submit button.

Once you are ready, just click the send button and a confirmation message will show up.

* Means required information

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Full Name*:
*
Gender*:
*
Age:
Weight:
Height:
Birth Date:
MM
/
DD
/
YYYY
Country, State and City where you live*:
*
Email Address* (double check that is properly written, so that you can get an answer):
*
Phone:
Profession:
Current job (including the kind of business, status in the organization if applicable, and kind of responsibilities you have there):
Your primary language and if you speak other languages say what percentage you are fluent in each:
Marital Status:
List the name, sex and age of your children (if applicable):
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