Focused Support

Session Prep Form

First Name *

Email *

Desired Goals or Outcomes *

I'd like to celebrate...

Wins *

Biggest insight, shift, or risk I took *

On a scale of 1 to 10, my actions moved me closer to my goals *

Challenges or Resistances I noticed..

internal or external *

During my next session, I am ready to focus on... *

PO Box 186, Blue Lake CA 95525