Healing journey survey.
Thank you for taking the survey! Since I ask for detail, this survey will take 15-30 mins to compete. Click the button below to start.
Question 1 of 18
Do you agree to be detailed in your responses to qualify for the group breathwork session?
Yes
Question 2 of 18
What is your email (for notification purposes of the breathwork session)?
Question 3 of 18
When you hear the phrase "healing journey" what comes to mind? Describe it in your own words.
Question 4 of 18
What words or phrases would you use to describe yourself?
Question 5 of 18
What are you currently struggling with in your life?
Question 6 of 18
What events in your past have caused you pain, anger or resentment?
Question 7 of 18
Name 2-3 habits or behaviors that you think stem from these situations.
Question 8 of 18
You may have some unconscious fears that are holding you back from your next level of healing. How do you feel when you think about finding what blocks you have that are hidden? Does that excite you or scare you?
Question 9 of 18
What practices or healing modalities (if any) do you use to resolve these issues and continue your healing journey?
Question 10 of 18
Describe what your life would be like if you were living your version of success. What would you be doing, how would you feel, who is around you, etc?
Question 11 of 18
Name 3-4 things you feel are blocking you from this successful life.
Question 12 of 18
Share 3-4 ways you know you are on your way to your next level of healing.
Question 13 of 18
What have you tried so far to support your healing journey? Courses, coaching, energy work? Share as much as you can.
Question 14 of 18
Have you experienced progress (think about what you mentioned in the questions around your blocks)? What has that progress looked like for you?
Question 15 of 18
When you think about the healing you've done so far, what feelings come up for you?
Question 16 of 18
Do you think you are experiencing an implementation issue (where you know what to do but don't really do it), or do you feel lost on what to do on our journey?
Question 17 of 18
Why do you want to heal the MOST? Why does healing and having success matter to you? Share as much as you can.
Question 18 of 18
Anything else you'd like to share with me? If not, you can type no.