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Home Christian Church’s

Individual Spiritual Counseling Questionnaire

 

Your spiritual journey is sacred, and seeking biblical counsel is a step toward healing, growth, and divine alignment with God's purpose for your life. This form serves as a prayerful reflection of your current spiritual, emotional, and personal struggles, helping me understand how to best support, guide, and intercede for you during our counseling sessions.

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Honest and complete responses are essential, as they allow for Spirit-led discernment and accountability. As Lamentations 3:40 reminds us, "Let us search and try our ways, and turn again to the Lord," this form is an opportunity to examine where you are and invite God into the process of renewal and breakthrough.

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To ensure prayerful preparation and effective guidance, this form must be completed at least 48 hours before your first scheduled counseling session. Your commitment to this step is a sign of your faith, readiness, and willingness to allow God to bring healing, clarity, and transformation into your life.

Birthday
Month
Day
Year
Have you experienced feelings of loneliness, hopelessness, or discouragement?
Yes
No
Have you struggled with forgiveness toward yourself or others?
Yes
NO
Do you have healthy boundaries in your relationships?
Yes
No
Are there any broken or toxic relationships that are affecting your well-being?
Yes
No
Are there any fears or insecurities keeping you from moving forward in faith?
Yes
No

This questionnaire is designed to encourage reflection, healing, and openness to God’s direction. Your honesty and commitment to this process will allow God to work in your life in a powerful way.

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