Be Your Own Bliss, LLC.
		Need Help? Thank you for visiting my website and filling out the form below. I honor and respect you for your courage to move forward in your life. The field marked with (*) are required fields. What are the top three things you want to achieve over the next six months? What are the biggest changes you want to create in your life over the next three years? What is the hardest thing you have ever had to overcome? Who are the key people in your life and what do they provide for you? What would you say have been your three greatest accomplishments in your life to date? Are you in control of your life or does it control you? On a scale of 1-10, 10 = HIGH, what number represents your current stress level:_____ What are your primary stressors? * From the following questions, pick one you would like to discuss during your complimentary session. [Select One]1 What are the three greatest challenges you are facing right now?2 What would you like more of in your life?3 What would you like less of in your life?4 What are three things you are currently doing regularly that don't serve or support you?5 What are your three greatest strengths?6 If your relationship was IDEAL, what's one thing that would be different?7 What's one thing you would love to do before you die?8 What's the biggest change you would like to make in your life, assuming you had enough support to do it?9 How do you define success for yourself at this stage of your life?10 What one thing, IF you would do it, would make the greatest impact on your life? What types of approaches discourage you or take away your motivation? What is a dream or goal you have given up on? On a scale of 1 to 10 (10=HIGH), rate the quality of your life today:_____ * Enter your e-mail address here.