Mental Wellness Strategy Questionnaire

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Not all coaches are created equal. Let's find out if you and I are a good fit. I believe we all need a strategy to attain and sustain our mental wellness. Please take a few moments to answer the questions below. It will give you a glimpse into how we would work together. If you decide to work with me, we will use your answers and additional information to map out a strategy for you.

Email *

Take a peek into strategy with me...

First and Last Name *

Describe yourself in 3 words. (ex: kind, loyal, impatient) *

Select your age range. *

21-30

31-40

41-50

51-60

60+

Required

How good are you at setting boundaries? *

Great

Horrible

So-so

I've never set any

Where are you spiritually? *

Christ Follower

Spiritual

Religious

Atheist

Other

How many of the following have you experienced in the last 6 months? *

Anxiety

Depression

Grief

Trauma

Work or School related stress

Required

What is your core belief system? *

What are your coping strategies? *

What people, places, and things do you need to avoid? *

What is one of your gifts/strengths we can use in your strategy? *

Name at least one person who is supportive to you. *

Name at least two things you want to improve in your life. *

Name at least one thing you want to accomplish in your life. *

Questions and comments

Send me a copy of my responses.

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