Spiritual Direction Intake Form

Thank you for your response. ✨

Name

Email

Phone number

Preferred Pronouns

Are you currently part of a faith community? If so, which one?

How would you describe your current spiritual practice (if any)?
(e.g., prayer, meditation, liturgy, silence, journaling, etc.)

What spiritual tradition(s) have shaped you?

What draws you to spiritual direction at this time?

Is there a particular question, transition, or concern you are carrying?

What do you hope to encounter in spiritual direction?

Are you currently working with a therapist, counselor, or other spiritual director?

Is there anything important about your physical, emotional, or spiritual health that would be helpful for me to know?

Practical Matters

Sessions are typically 60 min in length.

Preferred Meeting Frequency

Preferred Meeting Format

My fees are on a sliding scale. The fee for Spiritual Direction sessions are based on annual income.

$1,000- $55,000 $65 per visit
$56,000 – $85,000 $85 per visit
$86,000 – or above $100 per visit

In light of this scale, what do you agree to pay per session?

Payments can be made immediately following a session via Zelle, Venmo, or (in some cases) check.

About the Author

Br. Will is a professed member of The Community of the Mother of Jesus, interfaith spiritual director, small group facilitator, and all around church nerd. He’s passionate about the exploration of spirituality and the intersection of personal faith and public action. Enjoy exploring The Minute Monk!