10 Questions for Clarity Name(Required) First Last Email(Required) Enter Email Confirm Email Part 1 Purpose of This Form: This form gives me a starting point to help lay the groundwork of our work together. These questions are just a tool to stimulate thoughts, discussion and ideas, especially when you are not sure what you want. Nothing is written in stone, and your answers will change as you gain more clarity. **NOTE: Don't worry about filling in the "Rating" sections after each question until you get to Part 2. Just focus on answering the 10 questions first for Part 1. 1. How would you like your life to be different than how it is now? (Asked another way, “What don’t you want”? List out all the pain points you’ve been experiencing. Ex: “I don’t want to be alone so much anymore.”)Question 1 Rating: 1 2 3 4 5 6 7 8 9 10 2. What would you like to see happen? What would things be like, once you’ve achieved your goal? (In other words, “What do you want?” If nothing comes to mind or you feel lost, try using the items you listed under #1 above and list what you’d like instead, for each one of them. Ex: “I’d like to have more meaningful connections with people in my life.”)Question 2 Rating: 1 2 3 4 5 6 7 8 9 10 3. What will it do for you, if you get this transformation? Why do you want this transformation? (List as many reasons as possible, even if they are really small or really big. If you can come up with 7 reasons, that’d be even more fabulous!)Question 3 Rating: 1 2 3 4 5 6 7 8 9 10 4. How will you know when you’ve achieved your goal? What does life look like? (This helps us give us goals and lets us know when we’re making progress.)Question 4 Rating: 1 2 3 4 5 6 7 8 9 10 5. When, where and with whom would you want this change?Question 5 Rating: 1 2 3 4 5 6 7 8 9 10 6. How would getting this transformation change your life and the life of others around you? How will this change how other people see your transformation? What are you willing to let go of to do this transformation? (Examples: “I’d have to devote X nbr of hours a week to networking with other business owners”. Or: “My other overweight friends might not like me losing so much weight and I’d lose friends.”)Question 6 Rating: 1 2 3 4 5 6 7 8 9 10 7. What’s stopping you from having this right now? If you can’t think of anything concrete obstacle, then it’s a fabulous opportunity for emotional tapping. If I can name specific obstacles, then we can strategize for how to get around them.Question 7 Rating: 1 2 3 4 5 6 7 8 9 10 8. What resources do you currently have to help you get to this goal? (This could be time, training, or helpful people in your life such as your spouse or friends)Question 8 Rating: 1 2 3 4 5 6 7 8 9 10 9. What additional resources do you need? (Education, skill set, a specific relationship, etc). This helps us strategize in how you might get these, if you need them.Question 9 Rating: 1 2 3 4 5 6 7 8 9 10 10. What are the steps you can take right now?Question 10 Rating: 1 2 3 4 5 6 7 8 9 10 Part 2Now, read all of these questions and your answers out loud to yourself, and notice your inner reaction and what sorts of emotions bubble up. Record whatever you notice and the level of your inner experience from 1 – 10, (10 meaning “as high as possible”) next to each answer.For example, you might have listed an item on Question #1 as, “I don’t want to keep doing work that is unfulfilling” and when you read it out to yourself, you notice you feel anger. So you’d list “anger, 8” right under that answer on Question #1. Similarly, you might have an item on #2, such as “I want a life that allows more travel” you might list “frustration – 7” under it. I look forward to receiving this back from you and connecting with you at our first appointment!