Pre-Program Questionnaire

Welcome, and thank you for taking this step toward Standing in Your Power. Before we begin our time together, I'd like to understand where you are right now. Your honest answers will help me tailor our work to you, and they'll give us a beautiful way to measure your transformation as we move through this program together.

Please answer honestly. These questions help me meet you where you are, and they give us a powerful way to see your progress.

On a scale of 1 to 10, where are you in navigating this chapter of your life—where 1 is 'I feel completely lost and overwhelmed' and 10 is 'I feel clear, grounded, and moving forward'?

On a scale of 1 to 10, how confident are you in your ability to navigate this time on your own—where 1 is 'not confident at all' and 10 is 'very confident'?

On a scale of 1 to 10, how much is this season affecting your daily life, relationships, or sense of peace—where 1 is 'not at all' and 10 is 'it's affecting everything'?

On a scale of 1 to 10, how ready are you to do the inner work needed for real change—where 1 is 'I'm not ready' and 10 is 'I'm absolutely ready'?

What has kept you from moving forward or finding your footing until now? What patterns or beliefs have you been wrestling with?

What does it cost you—in time, energy, relationships, or peace of mind—if things stay the way they are? What are you hoping changes?

Please return this questionnaire before our first session. There are no right or wrong answers—just the truth of where you are. I'm honored to walk this journey with you. — Diane