On a scale of 1 to 10, where 1 is no pain or physical issues and 10 is the worst imaginable, how would you rate your current physical well-being?

Are you experiencing any physical pain or discomfort? If yes, please describe.

How would you describe the quality of your sleep?

On a scale of 1 to 10, where 1 is feeling completely calm and emotionally balanced and 10 is the worst distress or imbalance, how would you rate your current mental/emotional well-being?

Are you experiencing any anxiety or mood challenges? If yes, please describe.

How would you describe your overall emotional state?

On a scale of 1 to 10, where 1 means you struggle to focus and stay productive, and 10 means you are highly focused and consistently productive, how would you rate your current ability to focus and stay productive?

Are there any mental challenges (e.g., brain fog, lack of motivation) you’re currently facing? If yes, please describe.

How would you describe your overall mental state?

On a scale of 1 to 10, where 1 is feeling fully connected and at peace spiritually and 10 is feeling completely disconnected or lost, how would you rate your current spiritual well-being?

Are there any spiritual challenges or questions you’re currently exploring? If yes, please describe.

How would you describe your overall spiritual state?

What is one specific challenge (physical, mental/emotional, or spiritual) that brought you to join this healing circle?

What are you most hoping to gain from your membership in this healing circle (e.g., stress relief, spiritual growth, community support, etc.)?

How comfortable are you with participating in group activities like sharing your experiences or joining discussions?

Is there anything specific you’d like us to know about you or your needs as you begin this journey with us?