Please start with your name and D.O.B

 
What's the main focus of your life right now?

 
Which category do you feel is your biggest challenge right now?


 
^In response to the last question : Would this be the main area that you feel you could most benefit from some support around? - AND / Or - Is there anything else that is important to you that you feel like you would prioritize getting support around?

 
Do you have a project, business or brand you're working on? If so, tell me a bit about it, include links to any websites if you have them

 
On a scale of 1 - 10 : How far along do you feel you are with this project or vision?

 
On a scale of 1 - 10 : How deeply do you believe that your project or vision can positively impact the world?

 
What do you do for a living?

 
What is your annual yearly income?


 
How satisfied are you with your present earnings?

 
On a scale of 1 - 10 : How satisfied are you with your present lifestyle?

 
Have you ever experienced any type of 1 on 1 coaching, therapy or healing work in the last 5 years?

     
 
If So, What was the modality and the frequency? (How many years, how often per month etc.)

 
In regards to questions 12; What were the challenges that you were hoping to address in the 1 on 1 work your were doing?

 
Did you find resolution with those challenges? What progress have you made?

 
With Fully honesty, Right now, How worthy / deserving do you feel of fully manifesting your vision or actualizing your other life goals?

 
How does the idea of committing even deeper to yourself and your vision feel like?

 
Are you interested in exploring more?


 
Who is your hero (alive, dead, fictional or actual) and why?

 
What is your email?

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