Client Profile / Spiritual Director

Your Birthday *

Name *

Email address *

Cell Phone

Home Phone

Work Phone

Mailing Address - Incl. City/State/Zip *

What questions, concerns, struggles, musings do you bring to spiritual direction? *

Preferred Way to Contact Me *

Cell Phone
Home Phone
Work Phone
Email

Religious affiliation, if any.

Names of Important People in your life (spouse, partner, children, friends, etc.) *

Work, hobbies, volunteer activities that have meaning in your life *

Are you new to spiritual direction? *

Yes.
No, I have had a spiritual director in the recent past.
No, I have had a spiritual director in the distant past.

What can I do to help you in your spiritual life? *

Who is God for you? What is your image of God? What does God look like to you? *

What name do you use for God? *

Describe your relationship with God. *

What activities or spiritual practices enrich your faith or draw you closer to God? *

What challenges do you face when beginning a new spiritual practice, such as spiritual direction *

Do you have any questions for me?