New Client Start Here | Audacious Woman LLC

Name*

Your email*

Tell me why you're here.*

What do you hope to accomplish during our time together? Do you have any specific goals?*

Describe your day from when you wake up until when you go to bed. Your habits, schedules, activities, etc. throughout the day.*

Describe your meal schedule. For instance, do you regularly eat breakfast, lunch, and/or dinner?*

Do you prepare any meals in advance or eat whatever and/or whenever you can find?*

Do you make plans or do you fly by the seat of your pants?*

I'm a planner!

I like to fly by the seat of my pants!

How many social media accounts do you have?*

I don't do social media.

1

2-3

4 or more

How much time each day do you spend on your device (mobile phone, iPad, tablet, etc.), not including work related activities?*

Up to 1 hour

1-2 hours

3 or more

I don't use any kind of personal device.

When was the last time you experienced some self-care? Examples: relaxed in the bath, anything for hair, nails, massage, facial, wax, had your teeth cleaned, tattoo, piercing, etc.?*

Were your family members (any) critical of you as a child?*

Yes

No

Not including yourself, who is you biggest critic?*

Do you feel like you encounter obstacles frequently or it seems like nothing goes your way?*

What is your favorite article of clothing that you wear often?*

When was the last time you bought yourself something new and what was it?*

Do you do any type of exercise?*

Yes

No

Was there a time when you gave up something you wanted for someone else? If so, please describe.*

Do you give up easily or are you a fighter to get what you want and need

I give up easily.

I'm a fighter!

Who has been the biggest influence in your life? *

Describe how you handle stress.*

Tell me about how you handle situations when things go wrong. Example: Do you buckle down and deal with it or have a meltdown?*

Do you feel like you reach your goals?*

Are you organized?*

Yes

No

I really try!

People CAN create their own happiness instead of looking outward to other people or stuff. What are your thoughts on that?*

Welcome to Audacious Woman!