ARE YOU READY TO IMPROVE THE RELATIONSHIPS MOST IMPORTANT TO YOU? START HERE!

Name:                 John Sample
Date:                   10/3/2019
Cell Phone:        
Email:               
Address:       
  
Birthday:
Occupation:       
Married Since:   1991
Times Married: 

Spouse:    Jane Sample

Dad:
Mom:

Child 1:   
Child 2:   
Child 3:
Child 4:
Child 5: 

Counselor Index

Personality Profile

8 - Melancholy

10 - Phlegmatic

7 - Choleric

15 - Sanguine

Attachment Styles

4AVO: Avoidant Attachment Style POSITIVE SELF/NEGATIVE OTHER
(Grass is greener on my side of the fence. I am the smart one. You are not.)

2Anx/Amb: Anxious/Ambivalent Attachment Style NEGATIVE view of SELF/POSITIVE view of OTHER
(Grass is greener on your side of the fence. You are the smart one.” I am not.)  

1DIS: Disorganized Attachment Style NEGATIVE view of SELF/NEGATIVE view of OTHERS
(Satan lied to us about who God is, Who I am and who you are! No one knows who to trust.)  

5SEC: Secure Attachment Style POSITIVE view of SELF/POSITIVE view of OTHER
(Green Pastures: We have that loving feeling. God says we are both designed in His image. I trust Me with God and You with God.) 

Counseling Outline

Coaching Agreement

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Personality Quiz

Attachment Style Quiz

Basic Belief