Is C.H.I. for Me? A survey
Congratulations! This survey, Is C.H.I. for Me, begins your healing journey! You've taken an important first step towards achieving your desired change by completing this survey to explore my options.

The questionnaire will ask for different kinds of responses, either narrative or multiple choice.

After you’ve completed the survey, your responses are immediately sent to my email, and I review them on the same business day. The Is C.H.I. For Me Survey is highly confidential, seen only by me, Sanna Carapellotti.

Your next step: When you are ready to discuss your concerns and service options, please set up a 30-minute complimentary Discovery Call on Calendly. I am happy to talk with you and look forward to meeting you!

Many thanks for contacting me!
Sanna Carapellotti, M.S., Cht
sannacarapellotti.com

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Email *
Full Name *
Phone Number
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Referral Source:
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1. What motivated you to inquire about services today?
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2. Why is this a good time to resolve your personal concerns?
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3. Could you please specify the issue or struggle you need help with?
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4.  What are you looking to achieve?
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5. Once the struggle has been transformed, how do you imagine your life? 
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6. Are you looking for a holistic approach to healing and transformation?
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7. What traditional or non-traditional healing methods have you tried for this problem?
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8. Do childhood and generational influences impact your life today? *
9. Are you willing to explore the subconscious mind for hidden contributors to your struggles? *
10. How often do you follow a practitioner's recommendations? *
11. Have you ever been hospitalized for mental illness, suicide attempt, or an emotional breakdown? *
12. Are you taking medications for anxiety, depression, PTSD, or another mental diagnosis? *
13. Are you ready to commit to resolving the issues and problems you have?
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A copy of your responses will be emailed to the address you provided.
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