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Awakening Wellness Coaching and Healing
Savita Laura Jachim, CWC, LMT,CYT,

Whole-Life Assessment - Questionnaire

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Please answer the following questions Have fun with it; don’t take it too seriously, just simply write down what comes to mind. There is no right or wrong answers. Take a little time for yourself, get quiet and enjoy this process of going within. Your reflections will help us make the best use of our time together. If you do not have an answer then just skip that particular question.

Life is about progress not perfection. This next section gives us a wide angle view in 12 areas of your life wheel. Be honest and rate it from this present moment: (not from where you were or where you want to be)

Rank each from 0-10, 0 = being deeply unsatisfied, and 10 = being completely satisfied.

I hope this brief assessment has sparked some curiosity to keep you moving forward. Grief, loss, change or any life transition are a part of the cycles of life. Unfortunately, unexpected events can pull the rug from under our feet and cause you to feel uncertain and at times stuck. If you are curious about moving forward and reclaiming your life or If you want dive in and access more peace, passion and purpose…Your next step: Complete assessment form and it will get sent to me. I will be in touch within 24 hours to set up your complimentary coaching session.

What is a good window of time to reach you?

I look forward to connecting with you so we can get to know one another.

Savita Laura Jachim.

Awaken from within.

“You have to grow from the inside out. None can teach you, none can make you spiritual. There is no other teacher but your own soul.” –Swami Vivekananda

Awakening Wellness Healing offers life coaching for women across Chicago.