Questionnaire

Before We Meet

Your confidential questionnaire

These pages let me meet you already knowing something of your body, your history and your longing — so that our time together begins where it matters.

“Menopause is the dawn of the woman you were always becoming.”

✦

English

Client Questionnaire

Health · Hormones · Habits · Heart

37 pages · fill it in on your computer, tablet or phone
Nothing needs to be printed

PDF Word

✦

Ελληνικά

Ερωτηματολόγιο

Υγεία · Ορμόνες · Συνήθειες · Καρδιά

38 σελίδες · συμπλήρωσέ το στον υπολογιστή, στο tablet ή στο κινητό
Δεν χρειάζεται εκτύπωση

PDF Word

How It Works

Three simple steps

01

Download

Choose your language and your format. The PDF can be typed into directly — click any field and write, and click the small squares to tick them.

02

Take your time

Answer as fully and as honestly as you can. If a question does not apply, leave it empty. If something feels too tender to write, write in person and we will speak of it together.

03

Send it back

Save the file with your own name — for example MenoDawn-Questionnaire-Maria.pdf — and email it to me. I will read every word before we meet.

Everything you write is held in complete confidence. Your answers are seen only by Amma Usha Regina, and where necessary by the facilitators supporting your care. They are used solely to prepare and adapt your sessions or your retreat, are never shared or sold, and you may ask for them to be deleted at any time.

When You Have Finished

Send it to me

Thank you for the time and the truth you give to these pages. You have just given
words to things many women carry in silence — and that in itself
is the beginning of the work.

MenoDawn · Tantra Essence 🌹