Uncovering Your Life's Story Questionnaire

Dear You, 

Thank you for taking the first step in your journey towards self-discovery and personal growth, or perhaps you are a regular self improvement seeker who simply has tried everything else and you are ready to dive deeper. 

By answering these questions, you’re on your way to understanding yourself perhaps your childhood programming even generational influences is the first step to changing how you feel and view the world through you perception . This process is designed to inspire positive change and set you on a path to a new, fulfilling life.

Childhood Programming Instructions:

Please answer the following questions honestly, and remember that the first impression that comes to your mind is often your hidden truth. Notice how you feel when providing your answers and consider taking some notes to share with me if you choose to join a course or work one on one. Notice how you feel when you start to explore. Are you rolling your eyes, feeling dread, what's your breath doing? These are all signs of resistance. 

Section 1: 

Childhood Programming

1. Did you feel liked/wanted by your mother during your childhood?

 (Yes/No)

2. Did you feel liked/wanted by your father during your childhood? 

(Yes/No)

3. Did you feel liked/wanted by your siblings during your childhood? 

(Yes/No)

4. Were you generally an emotionally happy child?

 (Yes/No)

5. How would you describe your mother’s general mood during your childhood? Please circle one or more: 

Angry, shut down, quiet, open, supportive, sad, or happy.

6. Was there positive and supportive conversation at the dinner table during your childhood? (Yes/No)

7. Did you ever experience physical abuse, including being beaten, emotional abuse that shocked you and made you unsafe as a child?

 (Yes/No)

8. From any memory, were you neglected, spent long periods of time alone? 

(Yes/No)

9. Did anyone ever touch you inappropriately during your childhood? 

(Yes/No)

 (Was this a family member or relative or friend of the family? Circle one or more)

10. Did you regularly hear words of encouragement and praise during your childhood? (Yes/No)

11. Did your father make you feel safe? 

(Yes/No)

How has this section made you feel in your own words:

Remember, this process is the key to your healing. Be specific, brief, and gentle with yourself. Focus your insights how your childhood wounding has played out in your 

Career choices and purpose, 

Relationships,  

Health, physical, mental, emotional, spiritual, and financial.

And social life, recreation and creativity

Already feeling overwhelmed is a sign your nervous system and self belief is ready to be nurtured, healed, re-scripted and transformed. 

Book a 15 minute free consultation with Mary-Anne using the contact form below.

Generational Programming

1. Did your parents often, sometimes, or rarely (circle one or more) speak about how hard their childhood was and that you should be grateful?

 (Yes/No) 

2. Were you shamed or yelled at as a child because your mother or father had that experience themselves as a child? 

(Yes/No/Don’t know) (Circle one)

3. Do you understand your mother and father’s childhood? 

(Yes/No)

4. Was your mother abused? 

(Yes/No/Don’t know) (Circle one)

5. Was your father treated with kindness and respect as a boy? 

(Yes/No/Don’t know)

6. Were there cultural or religious restrictions that have been put upon you growing up? (Yes/No)

7. Would you describe your father’s overall behaviour as kind, angry, strict, mean, sad, loving, or happy? 

(Circle one or more)

8. Would you describe family gatherings as joyful, stressful, something good, or something bad?

 (Circle one or more)

9. Were you given positive examples of their life before you?

 (Yes/No)

10. Did you have a family bond with one or more grandparents? 

(Yes/No)

How has this section left you feeling overall? Circle one or more

Compassionate, Sad, Alarmed, Hopeful, Curious, Ready to break the cycle, Positive, Pleased. 

Once you’ve completed this questionnaire, you can send your answers to Mary-Anne at Loveselfmastery@gmail.com. Please include your timezone and to arrange a free 15-minute consultation to discuss your options.

Thank you for taking this step toward positive change in your life.