Intro Form — Sandra Kermode

Please share as much as you are comfortable prior to our Session, as it helps guide our time together.

Email Address

If you are comfortable sharing, what are your preferred pronouns? My pronouns are she/her/hers.

Are you comfortable with conversations around Spirituality?

I use a variety of words to describe the same energetic presence in our lives such as God, Source, Spirit, All That Is. This is the Energy that we connect to in our work. I want to be sure clients are aware of this prior to their session.

Are you familiar with breathwork, thetahealing and/or energy medicine?

No need to be and it's helpful to know your experiences/thoughts around these modalities.

Think of this next section as taking inventory, slowing down and checking in with how you are doing in this moment.

How and what are you feeling these days?

Describe any emotions that are coming up for you or have been showing up for you.

What if any stories or limiting beliefs do you feel are present?

When you think of your day to day, where do you feel you may hold yourself back? What stories might you notice in the background that create restriction in your day, body and/or life?

When do you feel most like YOU?

What activities/thoughts/places/people/foods make you feel purposeful, joyful, creative, engaged and in flow?

What does loving yourself unconditionally mean to you?

What might that look like, feel like and/or sound like in this present moment and in future moments?

What else would you like to tell me that may be helpful for our time together?