Thank you for booking the Clarity Session. This questionnaire will help me help you with your difficult mother. This is essentially your backstory. And it’s very important. We are going to dive deep and wide, travel back in time, and delve into your psyche in this questionnaire. Please give yourself plenty of time to go through it as it is part of your journey to clarity and change.
Take a deep breath- here we go.
Let’s begin by finding out where you are currently with your mother…
Level of Contact
Are you in contact with your mother? If so, is it too much, too little?
If not, are you considering reinitiating contact?
If you are in contact- what would be your ideal level of contact if you are not experiencing it now?
If you are not in contact- how is that for you?
If you are considering reinitiating contact, what is your fear- if any- in doing so?
Now that we have a starting place let’s zero in on how you see your mother.
How would you describe your mother? (Below is a list of descriptors to choose from.)
Loving, judgmental, empathetic, controlling, easy going, thoughtful, critical, forgiving, supportive, kind, cruel, harsh, soft, needy, arrogant, humble, steady, unbalanced, easily hurt, mature, immature, other?
How do you think she got this way?
About you- how would you describe yourself – or how would your best friend describe you?
Examples- Loving, judgmental, empathetic, controlling, easy going, thoughtful, critical, forgiving, supportive, kind, cruel, harsh, soft, needy, arrogant, humble, steady, unbalanced, easily hurt, mature, immature, other?
After an encounter with your mother, which best describes how you feel and why? Give your own example of each descriptor you resonate with.
Not good enough/ feeling like you just can’t get it right/ low confidence/ low self-esteem
Guilty/ feeling like you are selfish if you put yourself first
Self-doubt/ second guessing yourself or being unable to make a decision
Ashamed/ feeling like something is wrong with you
You and Mom