HomeLife Initiatives - Getting Started

Name:

Phone:

E-mail:

Date:

1) Describe your primary area of need/struggle:

2) How do you feel about this situation (angry, hurt, sad, lonely, guilty, shame, fear, glad)?

I feel:

Because:

I feel:

Because:

I feel:

Because:

3) What is your hope in this situation?

4) List the ways you have attempted to address the need/struggle along with the results of those attempts:

5) Record any additional thoughts that may be helpful in this process: