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What was happening in your life, business or internally when you decided to book this session?

What is the main intention you have for our time together? What would you most love clarity, healing, support or guidance around?

3. Your Relationship with Receiving 3. Your Relationship with Receiving Select all that resonates, please I find it easier to give than to receive I feel uncomfortable receiving money, recognition, support or visibility I work hard but what I receive does not match what I give I feel guilty when good things come easily I feel I need to earn love, success, money or recognition before I can receive it I feel worthy of receiving and want to expand my capacity to receive more I feel unworthy of receiving at the level I truly desire I feel something blocks me right before the next level I over-give, overdeliver or overexplain I struggle asking for what I truly want or need

3.1 Is there a pattern around receiving, money, visibility, self-worth or business growth that keeps repeating no matter what you try? Please describe it as specifically as possible and when you first noticed it.

4. Where Does This Pattern Affect You Most? 4. Where Does This Pattern Affect You Most? Choose all that apply Money and financial abundance Business growth and clients Visibility and recognition Love and relationships Self-worth and confidence Health and self-care Leadership and authority Receiving support from others All of the above

5. What Have You Already Tried? 5. What Have You Already Tried? Choose all that apply Therapy or psychology Inner child work Ancestral or family constellation work Somatic or nervous system work Business coaching or strategy Mindset work or affirmations Spiritual practices such as meditation, prayer or breathwork Energy healing or Reiki Trauma-informed coaching Manifestation or Law of Attraction work Books, courses or self-study I have done a lot of work and still feel stuck This is relatively new for me

6. Business Growth, Visibility and Soul-Aligned Strategy 6. Business Growth, Visibility and Soul-Aligned Strategy As a Business Strategist, I help clients implement aligned and effective strategies that support both business growth and soul expansion. Please select the areas where you desire the most support right now: Clarifying what makes me unique and communicating it confidently Pricing my services confidently and receiving what my work is worth Positioning myself clearly and standing out in my market Speaking about my work with confidence, clarity and authority Building credibility, trust and authority in my industry Creating aligned offers or services that reflect the depth of my work Attracting aligned clients without chasing, over-giving or overexplaining Creating sustainable business growth without burnout Becoming more comfortable with visibility and being fully seen Selling my services in a way that feels authentic and aligned Identifying subconscious, inner child or ancestral patterns affecting my business growth Strengthening my connection with my purpose, voice and message Expanding my capacity to receive more money, success, recognition and opportunities Integrating both strategy and soul alignment into my business

7. Your Receiving Ceiling 7. Your Receiving Ceiling Is there a number, income level, visibility level or version of success that feels like too much, like a ceiling you keep approaching but cannot move past? Yes No I am not sure

If yes, please describe it and share what emotions arise when you think about surpassing that level:

What was the relationship with money, receiving and emotional expression like in your home growing up?

What did the women in your lineage believe about money, success, visibility or receiving?

What did the men in your lineage believe about money, success, visibility or receiving?

Did you feel emotionally safe expressing your needs growing up? Did you feel emotionally safe expressing your needs growing up? Yes Sometimes No

What role did you unconsciously take in your family dynamic? For example: helper, achiever, peacemaker, caretaker, invisible one, rescuer, responsible one:

What would change in your life and business if this receiving block were finally released?

What would become possible for you if this pattern no longer controlled your visibility, receiving or business growth?

11. Continued Support and Expansion 11. Continued Support and Expansion Would you be open to continuing our work together if you feel this session is just the beginning of what is possible for you? Yes Possibly Not sure yet

10. Current Business Stage 10. Current Business Stage Which best describes your current season? Starting my business Growing my business Pivoting or reinventing myself Established but feeling stuck at a ceiling Transitioning from corporate into soul-led work Returning to my purpose after burnout or life changes

12. Anything Else You Want Me to Know? Please share anything you feel is important for me to know before our session together.

New Field New Field I understand and agree to respect the confidentiality and intellectual property of this work.

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