This is where
the work
starts.

Before your first session, take a few minutes with these questions. There are no right answers - only your truth. This is for you as much as it is for Kemina.

Your responses go directly to Kemina and are kept completely confidential. They help her meet you exactly where you are in your first session.

Client Intake

Answer honestly. There's no performance required here — the more real this is, the more useful your first session will be.

Don't fill this out:

Your Details

First Name *

Last Name *

Email Address *

Question 1

What keeps happening in your life, no matter what you do or change? *

Question 2

What have you already tried? *

Question 3 — Where is your nervous system right now?

1 = exhausted, shut down, or completely overwhelmed · 10 = calm, clear, regulated

1 2 3 4 5 6 7 8 9 10

Overwhelmed / shut down Calm / regulated

What does that feel like in your body right now?

Question 4

What does survival mode look like for you specifically? *

Question 5

If this actually worked — what would be different? *

Question 6

Is there anything you want Kemina to know before you begin?

✓

Received. Thank you.

Kemina will have read this before your first session. You don't need to explain yourself again — she'll meet you where you are.

Sovereign Self System Leadership Cohort About Press Contact Privacy & Terms

This is wherethe workstarts.

Client Intake

Received. Thank you.

This is where
the work
starts.