Name (First and Last) *
Name (First and Last)
First Name
Last Name
Email Address *
Gender
Date of Birth
Date of Birth
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Address
Address
Address 1
Address 2
City
State/Province
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Phone
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Briefly describe your spiritual/religious life and journey.
What, if any, are your prayer/contemplative practices?
What are the ways, if any, that you connect with God/the Sacred?
What are some of the joys and challenges you have experienced in your spiritual or interior life?
Have you ever had a spiritual director, therapist, or life coach? If so, what led you into that relationship and what was your experience of it?
What do you hope to gain from spiritual direction over the next year?
Do you have any concerns about spiritual direction? If yes, what are they?
What is the nature of your job placement? In what ways, if any, do you see it connecting with your spiritual life?
Do you or have you had any significant health (mental or physical) issues that you would like us to know about?
What activities do you enjoy doing in your free time? How often do you do them?
Are there or have there been any significant personal, professional, or family issues in your life that would be helpful for your spiritual director to know?