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Alignment Questionnaire

Please answer honestly and thoughtfully. This helps me prepare and ensures the session is grounded, focused, and supportive.

Name

First

Last

Date of Birth

Time of Birth and how accurate is it?

in emotionally Email

Place of Birth

What feels most demanding or emotionally heavy in your life right now?

Are there specific areas where you feel stuck, overwhelmed, or uncertain?

(Examples: relationships, family, work, direction, emotional patterns)

Is there a pattern or theme or type of person that you feel keeps repeating in your life?

Where do you feel you hold the most emotional responsibility (even if its unwanted)?

What are you hoping to understand or gain clarity about through these sessions?

What would “a helpful outcome” look like for you?

Is there anything you feel is important for me to know before these sessions begin?

I understand this work is educational, for insight and reflection, not prediction or medical/legal advice.

I understand these sessions are intuitively guided and coaching-based, not therapy or crisis support.