Intuitive and Empathic Development Intake Questionnaire
Required Required Question(s)
Progress: 
 
Required 1.
Please enter the information indicated below.
First Name:
Last Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

2.
Do you see yourself as naturally Intuitive? If so, in what way?
 

  • 500 character(s) left.
3.
Do you see yourself as naturally Empathic? If so, in what way?
 

  • 500 character(s) left.
4.
What do you know about how you work as an Intuitive or Empathic vessel?
 

  • 500 character(s) left.
5.
How have these gifts been helpful to you in your life?
 

  • 500 character(s) left.
6.
How have these gifts been challenging in your life?
 

  • 500 character(s) left.
7.
What strategies have you learned or developed thus far to utilize or manage your Intuitive and Empathic abilities?
 

  • 500 character(s) left.
8.
What is your understanding of what Intuition and Empathic Abilities are? What do you see as the difference?
 

  • 500 character(s) left.
9.
What do you see yourself as needing from the group and the other members in order to feel safe, comfortable and engaged?
 

  • 500 character(s) left.
10.
What do you see yourself as contributing to the group and other members?
 

  • 500 character(s) left.
11.
What is your basic philosophy of life?
 

  • 500 character(s) left.
12.
Where are you, generally speaking, in your life path?
 

  • 500 character(s) left.
13.
How do you see this group as contributing to the bigger picture of your life?
 

  • 500 character(s) left.
14.
Do you have aspirations to use your natural & learned abilities as an Intuitive or Empathic person professionally? If so, in what way?
 

  • 500 character(s) left.
15.
What are you looking for/expecting from Julie in leading this group?
 Main Intention/Hunger or Consistent Integration Interested in Occassionally Integrating Open to When Appropriate Rarely Interested in Integrating Specifically Not Interested 
"Teaching" Skills
"Teaching" Philosophy/Lecturing
Leading Experiential Exercises
Facilitating Discussion, Sharing, Exploration amongst Group Members
Organizing and Leading the Logistics & Format
  • Comment:

  • 500 character(s) left.