Calming Foods Audit

(for you and your family)

This form is an important step toward creating more peace + calm within yourself, in your relationships with your kids + teen, and your family as well.

By completing this audit, I’ll be able to get a clear understanding of where you are now, what challenges you’re facing and how best I can support you.

Welcome to Andrea Anderson Emotional Wellness Coaching

Emotional Audit (for you and your family)

This form is designed to help me get to know you better before we begin working together. I want to understand where you’re currently at, what support you’re looking for and the transformation you’re hoping to achieve. The more detail you provide, the better I can tailor our sessions to meet your specific needs.

Please take your time and be as open and honest as you feel comfortable. This is a judgment free zone, and everything you share will help us create the best path forward so you can feel calm, at peace and experience a family life you feel deeply satisfied with.

And btw, I genuinely look forward to supporting you on this journey!

Your full name

Name of other family members you'd like to discuss

Gender and age of family members listed

Your email address

Desired Program:

How did you find me?

If willing, please share name of person or source of referral. Thank you!

What support are you looking for? (Please share why you are interested in working with me and what challenges you’re currently facing.

What transformation are you seeking? (What do you hope to achieve or gain through our work together?)

If you had a magic wand and could create ANYTHING you wanted in your life (for yourself and your family, what would that be? NO LIMITS. ANYTHING is possible!)

What’s currently going well in your life? (Let’s acknowledge the positives! Share a few things you’re proud of or areas where you are thriving.

What’s currently holding you back or causing you stress or anxiety? (Are there specific behaviors, situations, or thoughts that are difficult to manage?)

For family members experiencing stress or anxiety, what’s holding them back? (Are there specific behaviors, situations, or thoughts that are difficult for them to manage?)

How do you typically cope with challenges? (This could include personal strategies, habits, or support systems you use when things get tough.)

For family members you’re concerned about, how do they typically cope with challenges? (This could include personal strategies, habits, or support systems they use when things get tough.)

Food impacts our moods, emotions and interactions with others. I’d like to hear a review of typical foods YOU eat often. An average day of meals and snacks. (NO judgment on my behalf, just looking to help you eat more calming foods!).

Breakfast (list typical foods)

Snacks (list typical foods)

Lunch (list typical foods)

Snacks (list typical foods)

Dinner (list typical foods)

Before bed treats (list typical foods)

Drinks

This question is only for those who want help with their family members moods + emotions. If this isn’t you, please skip this question! Please provide a review of typical foods YOUR KIDS/TEENS EAT OFTEN. An average day of meals and snacks. (Again, NO judgment on my behalf, just looking to help you + your family eat more calming foods!)

Breakfast (list typical foods)

Snacks (list typical foods)

Lunch (list typical foods)

Snacks (list typical foods)

Dinner (list typical foods)

Before bed treats (list typical foods)

Drinks

What’s your biggest personal goal for the next 3 months? (Let’s get clear where you want to go! Share a goal you’re working toward or would like to work toward!)

Anything else you’d like me to know before we start working together?

Make it stand out.

Dream it.

It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference.

Make It
Build it.

It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference.

Make It

Whatever it is, the way you tell your story online can make all the difference.

Make It

Calming Foods Audit

(for you and your family)

Welcome to Andrea Anderson Emotional Wellness Coaching

Emotional Audit (for you and your family)

Dream it.

Build it.

Whatever it is, the way you tell your story online can make all the difference.