SPIRITUAL LIFE STORY

This “journal” begins to unfold your story, so I can get a glimpse of what your life has been like, how you met Jesus, and what your relationship with God is like in this season. Please fill this out with as much depth in each question as you wish to share. Please use a narrative (story) style of answering, rather than short-answer.

All information you share in sessions will be kept confidential.

Your name *

Email address *

Today's Date *

Phone number *

Address *

Gender *

Birthdate *

Household members

How did you hear about me? *

Occupation and/or life focus (current and former) *

Hobbies or creative interests

Marital status *

Marital History *

In not applicable, please put N/A

Story of Family of Origin (parents, siblings) *

Any known key events about pre-natal and birth experience

Key events of your early childhood and teen years (challenges and joys)

Key events of your adulthood (challenges and joys) *

Please write a brief spiritual autobiography answering the following: *

- When and how you became a believer
- Your primary experiences with God over the years
- Anything else that you believe would provide insight into your spiritual life and journey right now

Describe how you currently engage in the spiritual disciplines of prayer, scripture, etc. How do you experience personal transformation through these spiritual disciplines? *

How would you describe your relationship with God right now? *

What themes do you see in your emotional and spiritual life? *

1) Themes of desolation (aloneness, abandonment, self-hatred, stuck places…etc.)

2) Themes of consolation (victories, gifts, God’s goodness (and other characteristics), joys, etc.)

How would you describe your deepest desires and core longings? *

What are you hoping for as you engage in Spiritual Direction? *

Are there any other spiritual, physical, emotional, or social current circumstances you would like me to know about? *

A copy of your responses will be sent to your email address.