Intensive Goals

Please fully complete this for below at least 48 hours prior to the start of your intensive. before your next session.

Name *

First

Last

Email *

Phone *

What are your goals & intentions for your intensive? *

Where in your body, do you hold your stress? *

Where in your body, do you feel emotional pain? *

Where in your body, do you feel physical pain? *

Name 3 emotionally traumatic experiences in your life. *

Name 3 physically traumatic experiences in your life. *

What physical changes would you like to make in your life? *

What mental changes would you like to make in your life? *

What spiritual changes would you like to make in your life? *

What career changes would you like to make in your life? *

Name make make

What relationship changes would you like to make in your life? *

What is blocking you from making these changes? *

What makes you angry? Please be specific. *

How can you change that? *

What makes you hurt? Please be specific. *

How can you change that? *

13. Is there anything else you would like us to know to assist you in your intensive? *

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