Intake Questionnaire for Life Transition Readings

After ordering, please complete these

16 intake questions

Takes 10 to 15 Minutes

#1. Please say and spell your full name.

#3. What major life transition are you currently experiencing? For example: career change, retirement, health challenges, or something else?

#4. How would you describe your current emotional state? For example: anxious, hopeful, overwhelmed, or calm?

#2. What is your birthdate, birth time, and where were you born?

#5. What do you see as the biggest challenge in navigating this transition?

Personal Details

Current Experience

#6. What resources or support systems do you currently rely on? For example: family, friends, professional guidance, or spiritual practices?

Support System

• Take your time.

• First read the question.

• Then listen to the question being spoken to you.

• Contemplate thoughtfully and prepare your answer.

• Click the colored "Answer Question #" button and talk for 30 seconds.

• Talk loudly and clearly.

• 30 seconds may be longer than you think.

• Keep talking until stopped.

• Don't worry. This is just an intake interview.

• There are no right or wrong answers.

• Just do your best with the 30 seconds you are provided.

• There is only one attempt per question. No rewinds.

• Once you have spoken your answer, go on to the next question.

• When you are finished, click the "Done" button.

#7. Have you considered seeking mentorship or guidance to help you navigate this transition?

Patterns and Purpose

#8. Are there recurring themes or patterns you’ve noticed in your life during similar transitions? For example: growth, stagnation, or cycles of renewal?

#9. Do you feel connected to a sense of purpose or calling as you navigate this transition?

Decision-Making and Stress Management

#10. How do you typically approach decision-making during periods of change? For example: logically, intuitively, or emotionally?

#11. How do you usually manage stress or uncertainty during life changes? For example: through action, reflection, or seeking help)

Values and Vision

#12. What values or priorities are guiding you through this transition? For example: family, or achievement, or personal growth, or spiritual fulfillment?

#13. How do you envision your life once you’ve moved through this transition? For example: more stability, new opportunities, or greater freedom?

#14. What would you say is the most important outcome you hope to achieve from this transition?

Self-Care and Growth

#15. How do you plan to maintain balance and self-care during this period of change?

#16. How do you see this transition impacting your overall personal growth?