Questionnaire

To inquire about working with me, just fill in and submit this GDPR-compliant form.

Salutation *

First name *

Last name *

Phone number *

Email address *

For billing purposes, I will need your full address in the event of a collaboration. You may provide it here or at a later time.

Street

Number

ZIP code

City

Questions:

How and where would you like to work together? *

I will attend individually on-site in Stäfa. I would like an individual session via video call. We will attend as a couple a on-site in Stäfa. We would like a couple session via video call.

Are you looking for short-term consultation or are you ready for a deeper process? *

Sustained process support (6-18 months) Short-term consultation (approx. 3-5 sessions) I am still unsure

Why would you like to work with me specifically? *

What is your intended focus? *

Understanding and changing relational dynamics Trauma expertise & nervous system regulation Inner growth & mindfulness Coaching for specific life situations

I work integratively with various approaches. Do you have a preference? *

Learning Love Relational Life Therapy (RLT) Somatic Experiencing (SE) NARM No preference

On a scale of 1 to 10, how satisfied are you with your life right now? *

1 10

Which challenge or pattern in your relational dynamics would you like to work on? *

What frustrates or upsets you most about your current situation? Why? *

Do you experience phases of intense tension, overwhelm, or emotional withdrawal? If so, how does this manifest?

What is important to you in your life right now?

Have you worked with coaches or therapists before, or attended personal development trainings? If so, what was particularly helpful for you?

What would need to happen in our next session for you to find it truly beneficial? *

If our work together is helpful, what will have changed sustainably in your experience or relationships? *

Is there anything else I should know to truly understand you and your situation?

How did you find out about me? *

Data privacy, prices and terms *

I agree to the Privacy Policy and the Prices and Terms. Your privacy will be protected, and your data will be processed confidentially for specified purposes only.

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Spam or misleading content
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