Imposter Syndrome Questionnaire

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Name *

First

Last

Email *

Your location and time zone *

Which RTT certification did you complete and when? *

What is it about the imposter syndrome that bothers you the most ? *

What are the top 2-3 ways this is negatively impacting your business and personal life? *

How long have you experienced imposter syndrome? When did it start and was there something that triggered it? *

Why do you think it exists now? *

What problems reoccur as a result of the issue? *

On a scale of 1-10 how much pain is this causing you? *

What have you tried to resolve it? *

What is it costing you emotionally and financially if you don't resolve this? *

on a scale from 1-10 how ready / motivated are you to ditch the imposter syndrome? *

Describe how you want your life to be better without it? Please be specific and begin each statement with "I will ...." or "I can ...." *

Would you be willing to do a short video testimonial in exchange for the session? *

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