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Client Intake

Please fill out this intake form so we can get started making magic together!

Click the button below to start.

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Question 1 of 26

Full Name

Question 2 of 26

Email

Question 3 of 26

Phone Number

Question 4 of 26

Birth Date, Exact Time, and Location (City & State) 

 

Question 5 of 26

What is your favorite flower?

 

Question 6 of 26

Your favorite color?

Question 7 of 26

Address?

Question 8 of 26

Social Media 

Question 9 of 26

Website & Other Relevant Links 

 

Question 10 of 26

How many years have you been in business? 

Question 11 of 26

Please tell me about your greatest vision. Be stretchy here -- think / feel bigger that you've ever allowed yourself to do before. Where it is now versus where you would like to be. 

Question 12 of 26

How did you come to be a soulful entrepreneur? Tell me your journey. 

 

Question 13 of 26

What kind of clients do you love to serve & why? 

 

Question 14 of 26

Where are you feeling empowered in your life and business? 

Question 15 of 26

Where are you feeling disempowered?

Question 16 of 26

What could use an upgrade? (This not to make anything "wrong", merely to shine a light.) 

Question 17 of 26

How do you tend to your soul outside of "work"?Hobbies? Relationships? Art? 

Question 18 of 26

What currently drains your energy in life and/or business? 

Question 19 of 26

Describe your current relationship with money. 

Question 20 of 26

Your Annual Revenue:

 

Question 21 of 26

Your revenue for the last 90 days: 

 

Question 22 of 26

What would you love to make in the next year? 

Question 23 of 26

Which specific topics would you love to discuss during our time together? 

 

Question 24 of 26

Have you ever had a mentor or coach? How was your experience? 

Question 25 of 26

What is your relationship to mysticism? 

Question 26 of 26

When you signed for this container, you committed to the Universe, Source, and your guides to step forward and become a new version of your Self. Tell me about this woman. 

 

Confirm and Submit