EFT Tapping Intake Questionnaire

Kindly take a moment to fill out the form below. This will help me get to know you, understand what you're currently navigating, and understand how I can best support you with EFT.

Name

First Name

Last Name

Phone

(For voice memo support)

(###)

###

####

Have you tried EFT Tapping before?

No, I'm completely new to tapping

I've done a bit of tapping (Youtube videos, etc.)

Yes, I'm very familiar with tapping

Are you currently a full or part-time entrepreneur? If yes, tell me about your current business.

If not, tell me about any vision/dream for your future business.

What are you currently struggling with? What aspects of life or business are feeling challenging?

What is your #1 desired outcome for our time working together?

Results are always a matter of personal responsibility. Are you ready and willing to make necessary changes and investments to achieve your desired outcome?

What do you feel are some of the biggest obstacles/blocks/fears/limiting beliefs that are keeping you from what you most desire?

If the "best case scenario" was achieved at the end of 6 weeks, how do you hope to feel? What other results will have been accomplished?

Is there anything else you feel is important for me to know about you?