First Name *

Last Name *

Email *

Phone *

What name do you want me to use in your recording? *

This can be your full name, first name only, or even a nickname you resonate with most.

 

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Street Address *

City *

State / Province *

Country *

Enter your country

Postal / Zip Code *

What are you currently stepping into? Describe the version of yourself you're becoming. *

This could include your health, confidence, career, relationships, daily life, or anything else that feels meaningful to you.

What limiting beliefs, habits, or thoughts are you releasing or reprogramming? *

These might be old patterns or stories that no longer feel true for who you're becoming.

What feelings do you want to anchor into more often? *

Examples: safety, confidence, peace, joy, abundance, clarity, trust, etc.

Are there any specific affirmations or phrases you love and would like me to include?

Totally optional - only include if something comes to mind that already truly sparks something in you.

Do you have any sensory preferences or avoidances?

e.g. You love ocean imagery, dislike being told to imagine yourself flying, prefer present tense vs. future tense language, etc. - this helps ensure it feels aligned.

When you picture yourself standing on the earth, what kind of surface feels most grounding and aligned for you? *

What kind of environment or setting feels most expansive or safe for your transformation journey? *

Is there a particular area of life you'd like me to emphasize most?

Career, health, money, self-worth, relationships, etc. - feel free to list more than one.

Anything else you'd love me to know to make this feel like yours?

This is your space to share any final notes, intentions, or preferences.