Satori Prime's Self Evaluation Form

1

Which of These Best Describes You?* This field is required.

🏆 Student: I'm relatively new to the consciousness and healing arts

✨ Practicioner: I've been on my self-realization and development journey for 1 to 5 years

🧘🏼‍♂️ Master: I'm a healing and manifestation ninja! I live in abundance and can be with anything as it arises for 5+ years

2

Please Enter Your First and Last Name* This field is required.

First Name

Last Name

3

Confirm your email address* This field is required.

example@example.com

4

What country do you reside in?Please choose from the menu below

5

Confirm Your Phone Number

Country Code

Area Code

Phone Number

7

Which of these best describes your career or employment?* This field is required.

Coach

Entrepreneur

Self Improvement Enthusiast

Consultant or Expert

Other

8

Since you said you're a coach, do you need help with growing your business?* This field is required.

Yes! I'd be interested in getting help growing my business

Nope, I'm very satisfied with my business growth.

9

If you were living as a completely integrated and embodied soul, operating from your wholeness in all areas of your life, and aligning yourself to manifest your desires in your ideal world, how would your life appear in the next 6 to 12 months?* This field is required.In your relationships, your physical being, spiritual, financial, business, etc.

10

Can you describe the frequency, vibration, and psychology that are currently driving your actions and thoughts today?* This field is required.

LOW VIBRATORY DENSE ENERGETIC FIELD: In fear, lack, scarcity, and anxiety. My days feel heavy, my energy is low and it feels like there is something missing.

HIGH VIBRATORY RICH ENERGETIC FIELD: I live in bliss, love, and liberation nearly all the time. I flow with life with ease and grace.

SOMEWHERE IN BETWEEN: I have days where I operate at high states and frequencies, but some days challenges kick in and I revert back to lower states and I get absorbed into old programming and challenges.

11

How would you describe your connection with money and your capacity to receive limitless abundance or support from the universe?* This field is required.

I have achieved financial freedom and have access to an abundant supply of resources in every aspect of my life. My surroundings are characterized by simplicity and generating income comes effortlessly, like the act of inhaling air.

My life is constantly plagued by a lack of financial resources, which leaves me unable to fulfill all of my needs and trapped by the circumstances of my existence. I don't make choices for myself, money does.

SOMEWHERE IN BETWEEN: I am comfortable where I'm at and I know there's room for improvement.

12

What is your current monthly income from your profession, business, and/or trust?* This field is required.Please choose one

I Don't Work / No Income / No Savings

Less Than $1,000/Month

$1,000 - $3,000 / Month

$3,001 - $5,000 / Month

$5,000 - $7,500 / Month

Over $7,500 / Month

I Live Off My Savings

13

What types of investments have you made in yourself in the past? * This field is required.Personal development, spiritual work, internal work, experiences, etc.

This is the first time I will have invested in myself and my personal growth.

Although I have participated in several courses and events, I have not been able to completely internalize the teachings and techniques required to bring about the life that I believe I deserve to have.

Investing in myself is one of my top priorities because I am worthy of living an incredible life and expanding into my highest alignment in every area of my life.

14

What results were you able to create in previous coaching programs and what created those results?

15

What area of life is most urgent for you to work on and to have a breakthrough in?* This field is required.Pick as many as apply to you

Finances and Abundance

Self Love / Self Worth

Healing My Relationship(s)

Physical and/or Emotional Healing

Career or Business

Effective Communication / Self Expression

Personal Confidence

16

How would you describe your current relationship with yourself?* This field is required.

I approach myself with completeness and kindness. Although I am not flawless, I have the capability to mend any damaged relationships. By seeking assistance, I can effortlessly channel my creativity and fulfill my aspirations. I believe that "Life flows through me."

Living in a state of unconditional love and wholeness is a challenge for me as my subconscious patterns affect my relationships. Nonetheless, I take full responsibility for my actions and no longer see myself as a victim. I believe that everything that happens in my life is for my benefit.

I tend to reject self-love, which results in me punishing or mocking myself internally. Instead of seeking love from within, I distance myself from relationships and rely on others to validate my worth. I often feel like a victim of circumstances.

17

In what way do you feel a sense of Trust within yourself, your inner intuition, and the natural flow of life? Are you confident in your own deservingness and ability to receive the abundance that the universe offers for your success?* This field is required.

I trust myself completely. My inner guidance and intuition is strong and the I know the universe is unfolding for in it's perfect timing.

I don't trust myself. I struggle to make healthy choices. I feel stagnant and often frozen with questions. I don't feel supported or worthy of receiving what I require to suceed in life or business.

I have moments of magic. I am still learning how to stabalize higher states and I'm not totally sure how to embody living in a state of surrender and peace.

19

Why is NOW the best time to go all in and make this change a reality?* This field is required.

20

To live your best life requires a choice to dedicate your Time, Energy, Focus and Finances towards yourself. Do you genuinely want to progress to a higher level of awareness and bring your future self into the present? Will you commit to making small adjustments to achieve the life you yearn for?* This field is required.*We offer simple payment plans and financing options if requested.

Yes! I am 100% all in to invest financially, emotionally, physically, and spirituall right now. I am elevating my experience of life..let's do this!

I am unsure, but open to getting curious, learning, and leaning into what is possible for me and my life.

I am currently struggling to feel worthy of investing in myself right now and I am choosing to stay right where I am at.

21

I meditate...* This field is required.

22

Our coaching experiences require time and dedication to receive full benefits, with a weekly commitment of roughly 2-3 hours per week, including personal reflection time which we strongly recommend for creating a foundational discipline that guarantees ongoing and sustainable transformation. Please indicate your level of availability and commitment.* This field is required.

I have the time and energy to fully commit right now.

I will make it work because I KNOW that it's time for a change.

It will be difficult for me to fit this into my life.

24

You know what's sadder than a puppy left in the rain? Our calendar when people don't show up for their call. You see we love having life-altering, fun-filled discussions with brilliant people like you. So here's the deal, to make sure our calendar doesn't get all weepy, could you please make it a point to save the date and time in your calendar and show up for our call at the set time. Or if you have to reschedule, simply drop us a line, send a pigeon, or if you're feeling adventurous, send a smoke signal. That way we can save the day and our calendar's feelings. What do you say?* This field is required.

Yes, I agree to the call terms and I'll show up on time.

No, I don't care about your calendar's feelings.