I give my consent to the processing of this personal data, the collection of this information being necessary to process the order, on the understanding that this information will never be shared in any form to any third party,and will be stored only for the duration necessary to fulfil the order.
What particular situation/s, event/s, person/s, in your life that you would like to skip / change if you could live your life again:
Make a list of SEVERAL POINTS (if appropriate) and scale them on the ‘emotional scale’
1 to 10 (10 being very high). You are scaling how you feel NOW about the event.. not how you felt then.
Just few descriptive words would do ie 1.Car accident, summer 2008 8/10 still now
2. Headlights coming towards me 6/10. 3. Sound of brakes 4/10 etc
Or : 1. Day dog bit me 7/10 - 2. Going for walks near a park 6/10- Seeing a dog on tv 4/10 etc
What would you like out of our session together?
Or if you prefer, how will you know the session has worked?
Please be as specific as possible, the clearer the outcome, the easier it is to recognize when you have reached it.
Start with: “I want to be able to..”
Please fill in these 10 questions and click “Submit” when ready.
This will help me find the best approach to suit your specific needs, so I can provide you with fast and effective help without delay.
Answer as much as you can but do not worry if you get “stuck”, we will discuss all this face to face anyway.
Some of these questions will be less relevant to you than others. Some might be too emotional to attempt at home. Don’t do anything that could bring emotions at uncomfortable levels.
if you are unsure at any time, you can also contact me directly:
Christine Pirrie
Mobile: 07769 571853
Email: info@urlife.co.uk
