Name
*
First Name
Last Name
Pronouns:
Email
Phone
Country
(###)
###
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Emergency Contact
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth (Year Optional)
MM
DD
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Hometown (Where you spent your childhood)
Name & Relationship
Name & Relationship
Name & Relationship
Name & Relationship
Cultural beliefs are learned and shared across groups of people in which citizens are encouraged to prioritize the goals, needs, and beliefs of the family and the community (i.e., language, religion, ethnicity, gender). How do identify yourself culturally?
Other important things you want me to know?
When goals, dreams and visions are in alignment with values, life is easier and more fulfilling. Values serve as the guideposts along the journey. They exist within you, they are not ideals to be worked out or acquired. They are expressed in living your life. One approach to uncovering your values is to explore a peak experience. Take a moment to close your eyes and imagine a time in your life with you felt fully alive. What were you doing? Who were you with? What feelings were you experiencing? Reflecting on this experience may help you uncover a few important values.
Value 1:
1. What do you consider to be your strengths, talents, assets?
2. What gives you the greatest joy in your life, what activities have meaning for you?
3. Look 5 years into the future. What does your life look like? Who have you become?
4. What are you tolerating in your life?
5. What do you want more of in your life?
6. What are the statements that your inner critic says?
7. What generally keeps you from getting what you want?
8. If you could create a dream job what would it be?
9. What is your greatest fear?
10. What is your greatest accomplishment in your life?
11. What are the guiding principles that you live by?
12. What is the most difficult thing you’ve ever experienced?
Thank you for registering to the NCR program.
In the next few days, be on the look out for an email from me with program details as well as an invoice through Quickbooks. Please reach out if you have questions: andrea@dewittadvisors.com I am thrilled that we're on this journey together.
With love, light and levity,
~Andrea
