Wild Rose Mysterium Client Questionnaire

Please answer what feels most supportive to you. You know what you need. Go gently, share as much or as little as you like.

When was your first period?

If you feel comfortable, can you tell me what the experience was like for you?

What is your relationship like with your cycle now?

What is your relationship like with your body?

Are you currently using a form of birth control? What have you used in the past?-Feel free to share about your experience.

Have you been in Therapy or worked with alternative healers before?

What is the nature of your genius (your gifting)? -Share whatever comes to mind.

What makes you feel most alive?

What are your biggest challenges right now?

What do you do to take care of yourself?

What do you want for yourself?

What do you want out of this work?

Is there anything else you would like me to know?

Thank you for taking the time to dive into this inquiry!

Be Well.

Jamie