Anna Yukevich 🄲🄻🄸🄴🄽🅃 🅂🅃🅄🄳🄸🄾

Intake Workbook

These questions can be intimidating. If you notice your brain telling you "I don't know the answer to this!!" just let it not know and do your best to answer. Our brains are laughably dramatic. Please know that nothing you write means anything about who you actually are. I'm not judging!

Your name

Your email

What's not working for you in your life right now?

What IS working for you in your life right now?

What would you like to be different about your life in six months?

What would you like your personal transformation to be during our work together?

What insecurities or doubts do you have about the process?

What might distract you or get in your way?

How will you handle these distractions?

What is the most unrealistic, fantastic, beautiful thing that could happen for you during our work together? (This should NOT be realistic! Go crazy!)

Can you look over your response and make sure it's reflective of YOUR values? (Not society's, your parents', etc.?)

What qualities or values do you think will be important to embody as we embark on this work together?

Courage, humor, etc.

What is important for me to know about your spirituality?

Are there any topics that are off-limits for discussion?

Most of my clients find value in working with astrology and/or human design. If this intrigues you, please enter your birth date, time, and location below.

Time

Please use 24h clock OR be sure to specify AM/PM.

City, State, Country

Please pick something you would like to do after you submit this intake workbook.

Intake Workbook

Thank you