Welcome

I hope you can tell me a little bit about yourself and how things are for you at the moment. There's no pressure on you at all to go deep or to answer anything if it makes you uncomfortable. It's just an opportunity for me to see how I can best support you.

First Name *

Last Name

Q1. What’s going well for you right now?

Q2. On a scale of 1–10, how have you been feeling lately? (Go with your first instinct)

Q3. If you had to put your finger on it, what’s the biggest thing holding you back right now?

Q4. When it all gets too much, what changes for you? What do you stop doing?

Q5. If your fairy godmother showed up tonight and sorted this for you – what would be different tomorrow?

Q6. What have you already tried to fix this? Has anything helped, even a bit?

Q7. What kind of support feels like the best fit for you right now?

1:1 online support

Small group programme

Self-paced/I prefer to figure things out myself

Just exploring at the moment

Q8. How soon are you looking to get support with this?

I'm ready now

In the next 1-3 months

Sometime this year

Not sure yet

Q9. When it comes to investing in support, what feels realistic for you right now?

Under £100

£100 - £300

£300 - £600

£600+

Q10. If you’d like me to follow up with some ideas or support based on your answers, drop your email address and/or phone number below:

Email

From time to time I send various useful mails about mental health, and self-care ideas and techniques. You can unsubscribe at any time.

Phone

Thank you for taking the time to share what's showing up for you at the moment.

Big smile

Carol 😊

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