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Ki'smet Nervous System Profile™
Client Assessment

This profile helps us understand how your nervous system is responding today so we can personalize your session. Please answer as honestly as you can—there are no right or wrong answers.

Before We Begin

Thank you for taking a few moments to complete this profile. Your responses help personalize today's session and give us a clearer picture of how your nervous system is responding.

How are you arriving today? Select all that apply.
How has your nervous system been feeling over the past 2 weeks?
🌿 Your Body & Nervous System
What have you noticed in your body recently? Select all that apply.
How has your energy felt over the past two weeks?
When life becomes stressful, I usually...
When life feels overwhelming, I tend to...
Which statement feels most like you today?
I feel calm, connected and present.
I feel overwhelmed and on edge.
I feel constantly busy but can't slow down.
I feel emotionally drained.
I feel disconnected or numb.
I'm not sure how I feel.
Which statement feels most like you today?
I feel calm, connected and present.
I feel overwhelmed and on edge.
I feel constantly busy but can't slow down.
I feel emotionally drained.
I feel disconnected or numb.
I'm not sure how I feel.
🌱 Today's Intention
❤️ Body Awareness

There are no right or wrong answers. Write whatever comes to mind.

Single choice
Safe and grounded
Mostly okay
Somewhat overwhelmed
Very overwhelmed
I'm not sure
✨What Are You Hoping to Leave With Today?
What would you most like to experience more of?
🌿 Daily Life
Which of these regularly affect your nervous system? Select all that apply.
🌿 Daily Life
Which of these regularly affect your nervous system? Select all that apply.
How regulated do you feel right now?
🤍 Thank You

Thank you for taking the time to complete your Ki'smet Nervous System Profile™. Your answers help me understand how your nervous system has been supporting and protecting you—not what's wrong with you. Together we'll create a session that meets you exactly where you are today.

Come as you are. Leave a little lighter. 🤍

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