Guided Meditation Questionnaire Name * First Name Last Name Email * Phone * (###) ### #### What is your main intention for this meditation session? * Have you practiced meditation before? If yes, which style and how often? Are there specific themes you'd like to explore? (Ex. relaxation, healing, clarity, emotional release, connection to higher self, inner-child healing) Do you have any physical discomfort, injuries, or physical limitations I should be aware of? Do you experience anxiety, panic attacks, or PTSD? If yes, what makes you feel safe and grounded? Are there any sounds, words, or imagery you find triggering or unsettling? Do you have any medical conditions (physical or mental) that might affect your meditation experience? Are you comfortable with references to concepts like chakras, spirit guides, and energetic healing? Is there anything else you'd like me to know to help make this the most beneficial experience for you? Thank you!
