Local In-Person Session Inquiry Form: please only fill out if you are interested in attempting to meet locally

First name

Last name

Birthday

Month

Day

Year

Email

I am:

Catholic

Protestant

I am in OCIA or planning to start OCIA

For Catholics: What is the name of your local Parish?

I am in interested in scheduling:

an Introduction Meeting (get to know me session before deciding if I am a good fit for you)

a monthly individual spiritual direction session

spiritual direction for a small group

a Rule of Life / Plan of Love creating session

Would you be able to meet in person in the Winston-Salem/Kernersville area during any of the following time blocks? Select all that apply:

Wednesday afternoons (somewhere during the 1pm - 5pm time block)

Thursday morning (10am-12pm)

Thursday afternoon (2-5pm)

Friday mornings (9am -12pm)

Friday afternoons (1pm - 4pm)

Saturday mornings (9am - 12pm)

Other

What options best describe your prayer life?

My regular prayer consists of devotionals such as the Rosary or the Divine Mercy Chaplet

I pray with Scripture in a reflective way often: Lectio Divina (3 or 4 times per week)

I pray Lectio Divina daily

I pray some of the Divine Office: Liturgy of the Hours (check if you are regularly praying 2 of the Offices such as Morning and Evening Prayer)

I am new to prayer and desire to get started with a regular prayer life.

I pray mental prayer regularly (regularly here means 5-6 times a week for 15 or more minutes each)

What best describes your Sacramental life?

I attend Mass every weekend (Sunday or Saturday Vigil Mass)

If Protestant: I attend Church services every weekend

I attend daily Mass sometimes (check even if once a week)

I receive the Sacrament of Reconciliation at least monthly

I receive the Sacrament of Reconciliation a few times a year

How would you describe your prayer, sacramental, and worship life right now?

Have you ever been in spiritual direction before?

Yes

No

What would you describe as your reason for seeking spiritual direction?