Name
First Name
Last Name
Gender / All Genders Welcome !
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
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Facebook
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Website
How did you hear about Naomi and the work that she shares ?
Tell us about yourself, please share the highest vision you have for yourself and your life, and what opportunities you'd love to create in your reality. Also what challenges are you facing and what you would like to experience instead... Along with anything else you feel you'd really love support with.
How would you describe your spiritual / healing journey so far ?
A. I’ve been on the spiritual path for many years and want to be deeply supported as ready for so much more.
B. I’ve done quite a lot and ready to go deeper.
C. I’ve done some healing work and now I’m ready to fully commit. I have the fire in my belly to grow !
D. I’ve done some healing work but not a lot and I'm curious to explore.
E. I’ve never done any inner \ healing work. I’m just starting out on my spiritual path.
Where would you describe you are with your level of consciousness on your spiritual journey ?
A. I am a spiritual healer / teacher / coach / frequency holder / soul driven entrepreneur, who’s been on the path for many years and ready to embody and expand into my next level.
B. I have a great connection with my higher self and source and I trust my intuition. I want to experience a deeper level of this and have support so I can heal further.
C. I feel I am having a spiritual awakening or coming onto that path and I am living consciously, however I’d really like more support to learn tools and techniques so I can go deeper in my experience.
D. I haven’t committed fully to my spiritual path, yet I do want to. I’m feeling unclear and looking for more guidance on how to navigate it all.
E. Other. Please share here if the above doesn’t describe you or anything else you feel Naomi is to know about you, this is a safe non judgment space.
How committed are you to your personal growth and healing journey ?
A. I’m 100% committed and coachable and ready to work with Naomi to be deeply supported.
B. I am regularly doing the inner contribution work and I 100% always take full responsibility for myself and my healing.
C. I’m ready to do the work 100% and I want to take full responsibility for myself and my healing.
D. I’m committed but I’d like to know more about what that actually means and looks like.
If you knew that you would 100% succeed, what would be your most ultimate dream and big picture vision for yourself and life ?
How can Naomi and her team best serve you in supporting you to make your dreams come true ?
Spiritual leadership / Spiritual guidance and mentoring.
I want to sign up for The Freedom & Empowerment program. Deep healing, for emotional trauma and spiritual awakening 1:1 / group program.
I want to sign up for The Transformation program. A 1:1 experience. Tailor made to your needs, for long term support and long lasting transformation.
Spiritual guidance to assist me on my Ascension and awakening path.
Support with my relationships.
Healing and alignment for a healing mind, body and spirit.
Clearing negative energies, conditioning and unhealthy belief systems, traumas and healing childhood wounds.
Deepening my connection with my heart, creator source and learning to embody my higher self and sovereign divinity.
Light language transmissions for DNA, light body and inner key code activation.
Quantum hypnotherapy for emotional and physical healing, past life healing, past life regression, clarity, support activation and so much more…
Shamanic priestess sound healing ( currently available in person only. )
Please express the level of self investment you are committed to making towards your healing transformation and spiritual ascension.
A. Any amount required
B. 1k - 5k
C. 5k - 10k
D. 20k - 40k
E. 50k - 70K
F. 80k - 100k
G. 100k
What is the best way to describe your souls mission ? Why you feel you are here on earth ? And why is it important to you ?
If you were selected to go on this journey with Naomi, what would it mean to you to receive her support, codes and guidance ? Why does this feel important to you ?
Thank you. We will be back in touch with you within 48hrs.
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