First Name *

Last Name *

Email *

Phone *

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A. TIME

1. How often do you feel like you’re against the clock, rather than in control of it? *

Always

Often

Sometimes

Rarely

A. TIME

2. If you had one extra hour each day, where would you invest it? *

Work

Family

Health

Personal growth

Rest

B. MONEY

3. Do you feel your income truly reflects the value you bring? *

Yes

Not sure

B. MONEY

4. Which best describes your current relationship with money? *

Flowing easily

Feast or famine

Tight or stressful

Avoiding it altogether

C. RELATIONSHIPS

5. Do the people around you support your growth and vision? *

Always

Sometimes

Rarely

C. RELATIONSHIPS

6. What do you wish your team or partner understood more about you? *

Your vision

Your stress

Your values

Your limits

D. WELLBEING

7. How often do you wake up feeling energised and inspired? *

Daily

A few times a week

Occasionally

Hardly ever

D. WELLBEING

8. What’s your biggest wellbeing block right now? *

Stress

Sleep

Time for self

Clarity of direction

E. SPIRITUALITY

9. Do you feel connected to something bigger — purpose, intuition, or inner guidance? *

Deeply connected

Somewhat

Not really

Not sure

F. INTEGRATION

10. If one area of your life could shift right now and make everything else easier, which would it be? *

Time

Money

Relationships

Wellbeing

Spiritual connection