Energetic Alignment
Which program are you currently feeling most drawn to?
(You can select more than one, or choose “Not sure yet”)
Please share your Phone Number:
What is your age?
When where you born, which date, and what time?
Where do you currently live?
Name your City & Country
Your Current Reality
What is/was your profession or role?
How long have you been in this position or business?
If entrepreneur: from the moment you earned consistent income.
Emotional Check-in
Which emotional patterns currently play a role in your life?
(Select all that apply)
Healing & Patterns
What have you done previously to heal your relationship with love, money, and self-worth?
List anything that comes to mind - coaching, therapy, retreats, breathwork, etc.
What layer is still missing today?
What feels unresolved or recently opened up in you?
Do you have (or had) a narcissistic or emotionally manipulative parent?
Relationships & Truth
What’s been your longest love relationship? And your most meaningful friendship/business connection?
Share duration + emotional imprint.
What’s the pattern you see across your relationships - both light and shadow?
Inner Vision
What would financial freedom look and feel like to you?
Practical and energetic vision welcome.
What is freedom for you - and how do you imagine your lifestyle being funded?
When did you set the intention to be financially free?
Choose a date - or declare one now.
When did you set the intention to be in a loving, committed relationship?
If you’re already in one, how long? If not, pick your moment.
Challenges & Needs
What are the 3 biggest blocks keeping you from:
a) Finding your true love
b) Creating financial freedom
Let it be honest - and not strategic.
If I could help you in 3 areas, where would you most want support?
Resonance Check
On a scale from 1 to 10 - how committed are you to becoming a true match for your wealth, love & legacy?
(1 = not at all — 10 = absolutely ready)
If you were to invest in your highest path, what would feel aligned for you right now?
Final Words
Is there anything else that feels important for me to know right now?
Something personal, energetic, ancestral - or simply true.
