Body–Mind Audit Intake Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your Name *FirstLastYour email address — this is where your report will be sent *Describe your relationship with your immediate family in a few sentences. Not the history — how it feels now. *How would you describe your relationships with close friends? What do those relationships give you, and what do they ask of you? *How do you experience your professional relationships — with colleagues, clients, or people you manage? *When a significant decision needs to be made in your life, what typically happens? *Options: I make it quickly and move on I research and analyse before deciding I consult others and factor in their views heavily I delay or avoid until it becomes urgent I feel clear about what I want but struggle to act on itWalk me through a typical weekday from waking to sleeping. Be specific about time. *What do you do outside of work — hobbies, interests, things you do for no particular reason? *What are your main worries right now? List them without filtering. *What thoughts are present when you wake up? What is the first thing your mind moves to? *What makes your daily life more difficult than it needs to be? *What would you like to change about your life? Be as specific as you can. * in or in How long have you wanted this change? What has stopped it from happening? *If you imagine yourself having made this change — what does that feel like? What does it look like day to day? *What would you lose if you change? What currently works about staying where you are?xt *What are you most afraid of? *Have you worked with a therapist, coach, or other practitioner before? What shifted, and what didn't? *Think of a time in your life when something genuinely changed for you — internally, not just circumstantially. What happened? *Why now? What has made this the moment you are doing this? *Which of these most closely describes where you are right now? *Options: I know what needs to change but I can’t make it happen I don’t know what needs to change but I know something does I know what needs to change and I’m actively working on it — but it’s not moving I have a sense of what needs to change but I keep avoiding looking directly at itWhere in your body do you feel stress or pressure most noticeably? Describe the physical sensation if you can. *What happens in your body when you are under significant pressure? What do you notice physically? *What does rest feel like for you? Do you find it easy to switch off, or does it take effort? *Do you experience any recurring physical symptoms, pain, or physical limitations? You don't need to include medical diagnoses — just what you notice. *Are you currently taking any medication? If yes, what for? (Optional — share only what you are comfortable sharing.) *How connected do you feel to your body on a day-to-day basis? *Options: Very connected — I notice physical sensations clearly and frequently Somewhat connected — I notice when something is wrong but not much beyond that Mostly disconnected — I live largely in my head I’m not sure — I haven’t thought about it muchDescribe your sleep. How do you fall asleep, how do you sleep, and how do you wake? *When you experience a strong emotion — fear, anger, grief, joy — what typically happens? *Options: I feel it clearly and it moves through me I feel it but manage or contain it quickly I notice I’m feeling something but can’t always name it I process it intellectually rather than feeling it physically Strong emotions tend to overwhelm meIs there anything about your physical or somatic experience that you think is relevant and haven't had the opportunity to mention yet? *What do you most want from this Audit? What would make it worth doing? *Submit my intake