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One-on-One Coaching Survey

Our inquiry survey for the 60-minute session on The Six Perceptions of Love for people healing from narcissistic dynamics

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Question 1 of 14

What is your name? 

Question 2 of 14

What is a good email to reach you at?

Question 3 of 14

What is your instagram handle?

Question 4 of 14

How did you find my work?

Question 5 of 14

How familiar are you with The Six Perceptions of Love?

A

I've read or studied it

B

I follow your content

C

This is new to me

Question 6 of 14

Which of these sounds ,most like where you are at right now?

A

I can see my own patterns and want to understand them more deeply

B

I know something needs to change and I'm ready to look at my part in it

C

I want help making sense of what someone else did to me

D

I'm unsure yet

Question 7 of 14

Think of a pattern that keeps showing up in your relationships or your life. What part do you plat in it?

Question 8 of 14

Does the Twin Flame journey resonate with you?

A

Yes, it's part of my journey

B

I'm curious about it

C

It doesn't resonate with me

D

I'm unfamiliar with it

Question 9 of 14

What is your current relationship situation?

A

In the relationship

B

Separated, still in contact (co-parenting, shared finances, work)

C

No contact

D

Single, and this is about something else

Question 10 of 14

If a current or past partner is part of what brings you here, which fits best?

A

I would describe them as narcissistic

B

They were diagnosed with narcissistic personality disorder by a professional

C

Neither describes my situation

D

Does not apply

Question 11 of 14

What would you want to walk away with from our first call?

Question 12 of 14

This work is reflective and happens within our calls. Are you in a steady enough place to sit with what comes up on your own between sessions?

A

Yes

B

Mostly

C

Right now, I need more support than that

Question 13 of 14

The first call is $250, non-refundable, and a signed membership agreement is required before booking. Does that work for you? 

A

Yes

B

Maybe, depending on the first call

C

I'm looking for one call

Question 14 of 14

(Optional) Where do you want the most clarity right now?

A

What I believe (what I was taught compared with what I believe now)

B

My relationships (romantic, family, or with myself)

C

How I run my life and household (decisions, authority, boundaries)

D

My work and gifts (calling, purpose, what I'm here to do)

E

Click this option if bypassing the question

Confirm and Submit