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Reflection Intake for Reflection Session
Begin your reflection by sharing what needs to be mirrored back.
Please Enter Date
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Full Name
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Email Address
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Preferred Contact Method
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Preferred Contact Method
A
Email
B
Phone
C
Either
Phone Number (optional)
What is the core question or uncertainty you want reflected?
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Tell me the context. Where is this coming from in your life right now?
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What outcome are you hoping for? Maybe success or clarity.
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Anything else I should hold in mind while reflecting?
Describe your communication style
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Describe your communication style
A
Direct
B
Layered
C
Exploratory
D
Visual
E
Emotional
F
Unsure
List any and all boundaries or sensitivities you want or required respected.
Payment
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