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Rewrite Your Love Story™ Discovery Questionnaire

Thank you for taking the time to reflect on your healing journey. These questions are designed to help you gain clarity on where you are, what you truly desire, and how we can support you in rewriting your love story — from emotional pain to empowered self-worth.

How often do you prioritize your emotional well-being in your daily life?
When a relationship causes you stress, how do you typically respond?
Do you currently have a safe space to process your emotions or past relationship experiences?
I’m not sure what that looks like
Yes, with support
Trying to on my own
Not yet
I don’t know how to begin
How often do you engage in practices that support nervous system regulation (e.g., breathwork, somatic release, sound healing)?
Regularly
Occasionally
Rarely
Never
Do you know how to identify and reprogram subconscious patterns that keep you in unhealthy relationships?
Yes, I’ve done that work
I’ve tried but feel stuck
I’m not sure how
No
When was the last time you were surrounded by a supportive, healing sisterhood of women?
Within the past month
Sometime this year
A long time ago
Never
What are you most longing for in your life right now?
Inner peace and emotional stability
Confidence and self-worth
Freedom from past pain
Healthy, conscious love
How important is it for you to begin or deepen your healing journey right now?
Urgent — I’m ready
Important — but I need support
Not sure yet
I’ve tried and feel discouraged
What have you tried in the past to heal from emotional pain or relationship wounds?
Therapy
Self-help books or podcasts
Talking to friends
Nothing has really worked
What type of support do you feel would help you the most right now?
Schedule an appointment
Aug - Sep 2025
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Week starting Sunday, August 31
Time zone: Coordinated Universal Time (UTC)Phone call
Wednesday, Sep 3
10:00 AM - 11:00 AM
11:00 AM - 12:00 PM
12:00 PM - 1:00 PM
1:00 PM - 2:00 PM
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