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J.A.M. Session™ - Intro Questionnaire
1.
Name (First and Last)
(Required.)
2.
Phone number
(Required.)
3.
Email
(Required.)
4.
In which area of your life do you want to increase your joy capacity the most?
(Required.)
Spiritual life
Emotional life
Family life
Relational life
Church life
Work life
Other (please specify)
5.
What does “abundant life” look like for you in this area (i.e., in the present and the future)?
(Required.)
6.
Fill in the blank: “_________” is the greatest source of joy, appreciation, and gratitude in my life.
(Required.)
7.
Fill in the blank: “_________” is the greatest source of fear, anger, sadness, shame, disgust or despair in my life.
(Required.)
8.
Which of the following best describes your age and stage of life?
(Check all that apply)
(Required.)
Age 40 - 45
Age 46 - 54
Age 55 - 70
Age 71+
Adult: Age 13 to birth of first child.
Parent: First child until youngest child is age 13.
Elder: Youngest child is age 13.
No children
9.
In the past 18 months, where have you invested your time, energy or financial resources to help you increase your joy capacity?
(Check all that apply)
(Required.)
Coaching
Counseling
Therapy
Self-help
Medication
Religion
Recovery Groups
Support Groups
Prayer Ministry
Spiritual Disciplines
Meditation
Journaling
Other (please specify)
10.
How did you find out about J.A.M. Session™ coaching?
(Required.)
Email
Blog post
Web site
Web search
Webinar
Workshop/Conference
Referral
(If referral, specify relationship)
Current Progress,
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