EMPOWERING PEOPLE INSPIRATIONAL BOUNDARY MASTERY QUESTIONNAIRE=11:11

gratitude lives here0002

Your full name and the name you choose to be called: ____________________________________________
Mailing address:_______________________________
____________________________________________
Email address: ________________________________
Date and place of birth:_________________________
Marital status:________________________________
Referred by (how you heard about me):____________
____________________________________________
Do you have children and how old are they ? _______
____________________________________________

Your current occupation: _______________________
Do you have an history of alcoholism or drug abuse, or are you influenced by this with spouse or family members: ___________________________________
____________________________________________
A bit about your relationship history that you wish to share: ______________________________________
___________________________________________

Your goals, outcomes and intentions in regards to this “ EMPOWERING WOMEN INSPIRATIONAL BOUNDARY MASTERY PROGRAM “ : ________________________
__________________________________________
In what ways do you feel powerful ? ____________
__________________________________________
In what ways do you want to feel more powerful?
__________________________________________
WHEN YOU CHANGE THE WAY YOU LOOK AT THINGS…THE THINGS YOU LOOK AT CHANGE !
DR. WAYNE DYER

On a scale of 1-10 … with 10 being the highest, how would you rate your:
1. Sense of self:
2. Satisfaction with your home life:
3. Satisfaction with your social life:
4. Satisfaction with your personal/relationship life:
5. Satisfaction with your career/employment:
6. Financial situation:
7. Anxiety:
8. Fear:
9. Creativity in your life:
10. Personal joy:
11. Humour:
12. Love that you receive:
13. Love that you give:
14. Self esteem:
15. Motivation:
16. Inspiration:
17. Imagination:
18. Obtained accomplishments:
19. Goal settings:
20. Optimism for achieving goals:
21. Physical appearance:
22. Health:
23. Emotional stability:
24. Spiritual fulfillment:
25. What do you think your life purpose is______________________________
26. Do you read and what kind of books do you read______________________________

If you could name one thing that has been stopping you , or holding you back from moving forward during the past year ( or several years ), what would it be ?

What have you liked most about your life in the past 5 years?

What has been the most difficult for you in the last 5 years ?

Name several things you particularly like to do:

Name several things you do not particularly like to do:

Inspired thoughts you would like to share?

If you could change anything about your future, as it appears to you now, what would it be ?

What goals are you ready to initiate, or follow through with, at this time ?

What, if anything, do you do to reconnect with yourself ?

Do you meditate ? If yes, how often ?

What ways do you connect with nature ?

List examples of how you like to express yourself creatively ? (e.i., art, dance, music, writing, etc.)

Describe some of your favourite things to do to relax, play looking after your inner child.

What activity(s) do you enjoy doing that make you unaware of time passing ?
What makes your heart sing ?

What do you consider to be your best strengths ?

What is the most important thing that you learned this past year ?

If you were not doing what you are doing now, what would you like to be doing ?

What characteristics or traits do you find most appealing in others ?

What have you been procrastinating about lately ?

What is it that you think you had as a child that you do not have now ?

What talents do you have that few, if anyone, see ?

If you were guaranteed success, what would you do ?

THE FASTEST WAY TO YOUR END GOAL IS IN A STRAIGHT LINE OF THOUGHT…FOCUS IS MAGICAL !

“ YOUR STRENGTH INSPIRES ME “ ! THANK YOU FOR FINISHING THIS DOCUMENT AND SENDING IT BACK TO ME SO THAT I CAN INTERACT WITH YOU WITH LOVE , COMPASSION AND UNDERSTANDING !

EMPOWERING WOMEN INSPIRATIONAL BOUNDARY MASTERY

2016-03-08_18-50-09   nice-pic-of-me-at-my-50th-bd-at-dads

Wishing you inner peace, love and many blessings,

Katharine

 

2017-04-22 18.13.04

Email : beautifulday101@outlook.com
Skype : katharinebeautifulday101
Facebook: Katharine Everest / Katharine’s Sessions

I offer through  “Katharine’s Sessions” : Empowering People Inspirational Boundary Mastery Program and  Soul Light Art and Writing Circles .

Books on the horizon by Katharine Nightingale in late 2017 ,  Colour Your Wings … This Is My Wish For You…A Children’s Book Of Love  ,  Gluten Free Comfort Food…For Your Love Of Life  and   Good Morning Beautiful Loving Stories In Praise Of Pet Parent’s Everywhere , for children . Available on all worldwide platforms in ebook and paperback in late 2017 .

 

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