Powerful Conscious Breathing with Hunter Flournoy
828-450-8800 info@hunterflournoy.com
www.hunterflournoy.com
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 •	Conscious Breathing Questionnaire

Congratulations on your commitment to harness the power of your own breath! The questions below will help you begin to explore your relationship with your breath and help me understand your desires, challenges, and goals for breathwork. Please download the document, fill it out, and email it to me at info@hunterflournoy.com.

 1.	What is your curiosity or concern around the breath?  

 2.	What have you noticed about your own breathing in the past?

 3.	Have you ever experienced breath-related discomfort, disease, or chronic conditions?  

 4.	Has anyone in your family?

 5.	Have you had any medical issues, medical procedures, traumas, or psychological concerns that might impact your experience of breathing? Please describe them briefly.

 6.	Many people discover that their breathing is strongly impacted by their birth experience. Do you remember or know about any details of your birth (Hospital or home birth, C-section, breech, cord around neck, anesthesia, etc.)?

 7.	What past experience do you have with any form of breathwork?  

 8.	Which of the following BEST describes your goals for breathwork?    
 a.	Experiencing a more open healthy breath
 b.	Changing or coping with respiratory issues
 c.	Changing or coping with pain
 d.	Changing or Coping with Emotional Symptoms
 e.	Healing or Coping with trauma
 f.	Deepening intimacy and connection
 g.	Spiritual growth & transcendent experiences

 9.	What are the benefits you would like to receive from breath coaching or therapy?