Consultation Questionnaire

You have made a decision that will change your life! I want to say that I admire you for your bold move to take ahold of your time! This questionnaire will help me help you! Fill it out in its entirety and as transparently as possible.

Name

First Name

Last Name

Where do you feel like your time is spent the most?

Name three challenges when trying to accomplish tasks?

Are you good at meeting deadlines?

How do you typically handle stress?

Do you have issues focusing?

At what time of day do you feel most energized and focused?

Name three things that fill your emotional tank? (Makes you happy and or feel relaxed)

Do you feel as though your workspace is conducive for efficiently completing your work?

Name something you would like to do that you feel you have not had time to accomplish?