Name *

Email *

What city / country do you currently live in? *

What is your age? *

• 18-25
• 26-32
• 33-40
• 40-50
• 51 and over

Do you consider yourself a lightworker, empath, starseed, spiritual being, awakening soul etc.? *

• Yes
• No

Do you consider yourself to be going through a spiritual awakening? *

• Yes
• No

How did your spiritual journey begin and how did you know you were awakening? *

(Write 'n/a' if you do not identify as going through a spiritual awakening)

What are your greatest challenges in life right now? Where are you most struggling? *

What goals/positive changes do you most want to see happen in your life right now / by the end of 2022? *

What is your overall highest vision/ambition for your life? *

How clear are you about what your life purpose is? *

What in your opinion is the biggest thing keeping you from accomplishing your current goals/overall vision? *

Where do you see yourself if you did nothing to change this? *

What is more important to you? *

• Living your life purpose, impacting/helping others, being free to express your soul's gifts
• Manifesting great relationships, experiences, more time to enjoy life with your friends/family

What kind of coaching program would you most want to enrol in? (select up to 2) *

• How to find and clarify my exact life purpose and start taking action to live it
• How to launch my dream spiritual business
• How to manifest my soul mate and master my relationships
• How to free myself of inner doubts, blocks, fears and confidently rise up to the next level of my true potential
• How to master my awakening and live from a place of Divine Love, joy, and 5D/unity consciousness

How much are you willing to invest in yourself to see the changes you want? *

• $50 - $500
• $500 - $1000
• $1000 - $2000
• $2000 - $3000
• $3000+ (...whatever it takes!)

What might be the biggest thing that may stop you from doing an online coaching program? *

If you had 15 minutes of my time, what would you ask me? *

Name

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