Initial Information Form

Spiritual Direction Initial Information Form

Please cut and paste this form, make your responses, and email when you’re ready.

Name: (required)

Age:

Gender:

Marital Status:

Address: (required)

Phone: (required)

Cell Phone:

E-Mail: (required)

Please give a brief sketch of the story of your spiritual development so that Dr Conlan can make a connection with your past.

Have you been involved in receiving spiritual direction before? Where and when? Describe the experience briefly.

Why are you seeking spiritual direction now and what are you hoping to receive?

What books are you reading at present?

What book has greatly affected you in the past 5-10 years?

How do you experience prayer at the moment?

Indicate here any other relevant information you may want to offer that would help Dr Conlan become acquainted with and be caring toward your particular situation. For example, is there a particular crisis at present? Are you on mood enhancement drugs? Are there particular past issues that you have you had to deal such as sexual abuse, abortion trauma, addiction treatment, bereavement issue, etc. that might be important to note?

Briefly summarize any counselling or therapeutic experiences you have had in the past. Also describe any medical conditions that may affect your experience such as a chronic or degenerative disease, depression, mental illness, etc…