Getting Started

In preparation for our first meeting, it would be really helpful for you to fill out the following questions. This is between you and me, and we will use this to customize the work we do together. So, please be as open and honest as possible. :) I am looking forward to meeting with you!

The Easy Stuff...

Now let's get down to business...

On a scale of 1-10, how familiar are you with the Law of Attraction (1=What is that?!?; 10=It's no Secret to me!) *

Do you believe you have control over your own thoughts? *

No Yes Most of the time Not sure My thoughts are on autopilot I am very aware of what I am thinking most of the time I easily get "lost in my thoughts" and find it challenging to "get myself back" I can easily shift/change my thoughts at will

Are you or have you ever suspected that you are: (check all that apply) *

Do you meditate? *

Yes, frequently No, never Sometimes I have tried, but find it very difficult

Do you feel that you need help with focus, centering, and/or grounding? *

Yes!! Sure, why not? No, I'm good!

On a scale of 1-10, where do your typical thoughts resonate? (1=Extremely negative/fearful; 10=I always have my rose-colored glasses on!) *

On a scale of 1-10, how open are you to discussing areas of your life that you would like to change? (1=Not at all; 10=I am an open book!) *

Are you at all worried about using the clay? (no artistic skills are necessary...I PROMISE!) *

Yes, I don't have an artistic bone in my body A little, but I should be fine. It's not about art, right? (RIGHT!) A little...I tend to have sensory issues. Not at all worried...I love working with my hands! I have never used clay, but am willing to give it a try! Other (please specify below)

How did you hear about the New Moon Self-Development? *

Facebook/Social Media Internet Search Advertisement Newspaper/Calendar Email Referral from a past client/colleague/friend (please specify in Other) I know Karen and wanted to give it a try Went to a workshop and saw how powerful the clay work is Other (please specify below)

What is your primary goal in working with Karen LoGiudice/New Moon Self-Development Center? *

I am looking forward to working with you! Please take a moment to fill out the questionnaire below before we get started.

Getting Started/Getting to know you...

The Easy Stuff...

Now let's get down to business...

Services

Company

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