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This is not a test and you do not have to diagnose the belief yourself. A few honest answers will help Peter understand the outcome you want to change and whether a conversation will be useful.

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Your answers are treated as private. Clear, straightforward language is enough.

getting to know you

Start with what is actually happening.

Welcome, and thank you for taking this step.


We understand that reaching out for support can feel like a big decision. You may be preparing to discuss experiences, thoughts or challenges that you would usually keep to yourself. Please share only what you feel comfortable sharing at this stage.


Your answers will help Peter understand your current situation, what you would like to change and what you hope to achieve. There are no right or wrong answers, and everything you share will be treated confidentially.


After Peter has reviewed your submission, you will receive a personal response within a few days. If appropriate, this will include a private booking link so that you can arrange a Discovery Call at a convenient time.


During the call, Peter will ask some questions to understand your current situation, what is and is not working, and what you would like to change. You will also have the opportunity to ask questions and learn more about how Peter works and what the programme involves, including the commitment and investment required. You can then both decide whether working together feels like the right next step.


The form should take approximately 10-15 minutes to complete.

Section 1 - About you

Section 2 - Your Current Situation (please provide as much detail as possible)

Which areas of your life are currently being affected? Select all that apply.

Section 3 - Looking Forward

How open are you to questioning some of the things you have treated as necessary or true?
Not ready
Unsure
Open
Very open

There is no right answer. This simply helps Peter understand whether the work and timing may be right for you.

Section 4 - Working Together

How open do you feel to challenging your current way of thinking?
Very open
Mostly open
Unsure
Not ready yet
Are you prepared to invest time each week in your own development outside of our sessions?
Yes
No
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