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Getting to know each other

You have indicated you want some more support with transforming your anxiety. In order to get the best for you, I would love to know a bit more about you. When you have filled-out this questionnaire I will get in touch with you via email and we can plan your next steps together!

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* 1. What is your name (I need this to be able to know who you are!)

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* 2. What is your email address ( I need this to be able to get in touch with you)?

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* 3. What time zone are you in?

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* 4. On a scale from 1-10 (1 being not at all and 10 being a lot) how much impact is anxiety having on your day to day? 

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i We adjusted the number you entered based on the slider’s scale.

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* 5. How long have you struggled with anxiety? 

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* 6. What is the biggest challenge you have with anxiety right now?

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* 7. Where would you like to be in 3 to 6 months from now?

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* 8. Is there something you would like to share with me about yourself and your journey? (ie. mental health diagnosis; trauma; life-events - anything!)

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* 9. Are you willing and able to invest energy, time and resources to transform your anxiety?

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