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What are your Strengths, Struggles, Concerns, and Goals?

What do you feel are your strengths, struggles, concerns, and goals are today.
This will help me to understand and provide the best resources and support to you.
All of your information is held completely confidential.

Click the button below to start.

Start

Question 1 of 5

What are your current wins, accomplishments and strengths in your life? 

(Select all that apply)
A

Family

B

Career

C

Personal & Spiritual Growth

D

Relationships

E

Health

Question 2 of 5

What are your concerns or things you are struggling with today?

(Select all that apply)
A

Family

B

Career

C

Illness/Health

D

Politics & World Issues

E

Personal & Spiritual

F

Financial

G

Relationships

Question 3 of 5

What is your age range? 

A

18-24

B

25-31

C

32-40

D

40-62

E

62-100

Question 4 of 5

Male or Female

A

Male

B

Female

Question 5 of 5

Please include any thoughts and feelings here.

Tell us about a recent win, your goals, or a thing that may be concerning you.

Confirm and Submit