Bring on the Joy New Client Intake.Please complete the survey below. This will be used to shape our discovery call. Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Email address Question Title * 4. Phone Number Question Title * 5. Mailing Address Street City, State Zip Code Question Title * 6. Birthdate Date / Time Date Question Title * 7. Are you currently taking any medication? No Yes. Please List Question Title * 8. Have you been to therapy or counseling before? Yes No Question Title * 9. Tell me about your home life (Ex: partner, spouse roommates, children pets etc) Question Title * 10. Describe your profession/career. Question Title * 11. List 5 adjectives to describe your current self. 1. 2. 3. 4. 5. Question Title * 12. What values are important to you? Question Title * 13. Tell me about your typical day from morning until you go to bed. Question Title * 14. Why are you reaching out for support at this time? Question Title * 15. How soon would you ideally like to start your sessions/package? This month In the next two months ASAP Question Title * 16. What times of day/days of the week are ideal for you to meet? Morning Midday (noon) Afternoon Evening (after 5pm) Question Title * 17. Please rate your current joy level. What is joy? Not much but I know it’s there. Some days I feel joy, but not as much as I’d like. I’ve felt it enough to know I want more. Full of joy! What is joy? Not much but I know it’s there. Some days I feel joy, but not as much as I’d like. I’ve felt it enough to know I want more. Full of joy! Question Title * 18. Tell me about your favorite hobbies? Write about what you like to do for fun, and what makes you laugh/giggle/smile. Question Title * 19. How much time will you gift yourself to work on YOU each day? 5-30 minutes 1-3 hours 5-15 minutes every few days I have no time and I am wanting help to find it. Question Title * 20. How do you want to feel after working together? Question Title * 21. How did you find Bring on The Joy? Instagram Google Search Word of Mouth Referral from another coach Other (please specify) Question Title * 22. How often do you feel overwhelmed? Done