30 days to a Truer You Questionnaire
Congratulations! This right here is the first step to a Truer You and you are already on your way to uncovering a more truthful and authentic version of yourself. As you answer the questions in this form, I encourage you to be extremely honest with yourself. You may even want to take a deep breath before you select your response and review your answers before submitting (once you submit, there's no going back!). The results from this will give us a baseline for the work at hand. From here, the next 30 days will be tailored entirely to meet the needs of your highest self. Let's begin!
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Email *
Name *
Have you ever had a Reiki session with Schuyler before? *
How are you feeling in your body RIGHT NOW?
(If you select "Other", please respond in the same format)
 *
Based on your response to the previous question, what is 1 contributing factor that made you answer that way?

(EX: if you answered "COMFORTABLE", 1 contributing factor might be: "because I am at home leisurely drinking my morning coffee")
 *
List 3 things that bring you joy. *
Approximately how long did it take you to think of 3 things that bring you joy? *
Do you currently practice gratitude daily? *
What does your gratitude practice look like? *
Rate yourself on the Discipline Scale *
No discipline whatsoever.
Extremely disciplined.
How do you measure growth in your life? *
Rate each of the 12 areas of life from very dissatisfied to very satisfied. Remember: be honest! *
Very dissatisfied
Dissatisfied
Ok
Satisfied
Very satisfied
Physical Health
Personal Relationships (family & friends)
Intimate Relationships (romantic partner)
Career
Finances
Spirituality
Recreation and Hobbies
Social Connections
Domestic Life or Household Management
Personal Development or Self-Care
Creativity or Self-Expression
Charitable Causes or Service Work
If you have dedicated a word or intention for 2023, what is it? If you haven't, choose one now *
Is there anything else you would like me to know? *
Are you ready to commit to bettering yourself over the next 30 days? *
Phone Number *
Do you prefer email or text? *
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