Match your wealth call - soul intake form

This is not just a questionnaire. It’s a reflection of who you are becoming.
This is a private space for honesty, clarity and self-awareness confidential.

Energetic Alignment

This is not about choosing the right option. It's about seeing what is actually happening.

What is currently not working the way you know it could?
Not conceptually. In the reality you are currently living.
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What made you book this call now?
What shifted, or what became impossible to ignore?

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Personal Details

Full Name
Please share your Email:
Please share your Phone Number:
Your Birthday
Date, place, country and time of birth.
Where do you currently live?
Name your City & Country
Your Current Reality

What is/was your profession or role?
How long have you been financially responsible for your current reality?
If entrepreneur: from the moment you earned consistent income.
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Emotional Check-in

Which patterns do you recognize at the moment?
(Select all that apply)
Healing & Patterns

What have you already explored in your healing, growth or embodiment journey?
List anything that comes to mind - coaching, therapy, retreats, breathwork, etc.
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What layer is still missing today?
What still feels unavailable, unsafe or incomplete?
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What kind of emotional environment shaped the way you learned love, safety or self-worth?
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Relationships & Truth

What relational pattern keeps repeating in love, business or intimacy?
Share duration + emotional imprint.
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What pattern repeats itself in your relationships, both in love and conflict?
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Inner Vision

What would wealth feel like if it no longer cost you yourself?
Practical and energetic vision welcome.
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What kind of life feels emotionally and financially expansive to you?
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Challenges & Needs

What are the 3 biggest blocks keeping you from:
a) Finding your true love
b) Creating financial freedom
Answer from self-awareness, not self-image.
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If I could help you in 3 areas, where would you most want support?
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Resonance Check

On a scale from 1 to 10 - how committed are you to becoming a true match for your wealth?
(1 = not at all — 10 = Absolutely ready. On a scale from 1 to 10, how ready are you to stop negotiating with the life you say you want?)
1
2
3
4
5
6
7
8
9
10
Are you currently available for high value support and transformation?
YES
NO
Final Words

Is there anything else that feels important for me to know right now?
Something personal, energetic, ancestral - or simply true.
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Did someone referred you?
If yes, put their name here…
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