StarHeart Life Clarity Assessment
Name
First Name
Last Name
Email
example@example.com
Thank you for taking the time to fill out this form. It is offered as a help to self-evaluate where you are in your life, and what your path forward would be. Part 1: Where are you now? (Please check all that apply).
Disconnected from my true self
Discouraged from comparing myself to others
Stuck in perfectionism (why bother if it's not perfect?)
Uncertain about my purpose
I feel safer when I stay small and guarded
Struggling to create abundance
Called toward something greater, but don't know what
Blocked from expressing my gifts
Stuck repeating old patterns
Lonely on my spiritual journey
Always busy and overwhelmed
Feeling like I'm not enough
Wondering "who am I to have what I really want"?
Always a people pleaser
Holding back my spiritual side
Fear of letting go and surrendering to the Divine
Part 2: What are you longing for? (Check all that apply)
Greater peace
Emotional healing
Physical healing and vitality
Clarity about my life purpose
To understand my spiritual gifts
To trust my intuition
Healing after grief or loss
More joy
Greater confidence
Healthy boundaries
Freedom from old emotional wounds
A stronger connection with God/Source, angels and guides
A deeper connection with Mother Earth
To remember who I truly am
Express my authentic voice
Experience more self-love
Claim my right to be here
Celebrating my wins
Part 3: Your Inner Knowing: Complete this sentence, "I know deep inside that ..."
Part 4: Your Healing Journey. Which have you already explored? (Check all that apply)
Therapy/counseling
Coaching
Energy healing
Sound healing
Drumming
Journaling
Prayer/Affirmations
HeartMath
Grounding in nature
Meditation
Yoga/Qi gong/ Tai Chi
Nutritional support
Emotional Freedom Technique
Reiki/Healing Touch
Spiritual retreats
Communing with Mother Nature
Plant medicine
Other
Which of your therapies helped the most? What still feels unresolved?
Part 5: Which best described you? "I often feel like . . ." (Check all that apply)
I'm spiritually awakening
I'm a caregiver who has forgotten myself
I give more than I receive
I feel highly sensitive
I absorb other people's energy
I long for a deeper connection with nature and elementals
I know I'm meant to serve others
I feel called to teach or heal
I know I have gifts waiting to be expressed
I don't know how to trust my inner guidance
I'm entering a new chapter of my life
I long for a deeper connection with animal guides
I long for understanding through my past lives, and galactic lives
Part 6: Imagine six months from now . . . If our work together was exactly what your soul needed, what would be different?
Part 7: What kind of support feels most aligned? I am most drawn toward . . . (Check all that apply)
Gentle guidance
Deep emotional release & healing
Practical wellness support
Sound healing
Spiritual mentoring
Medical intuitive insight
Galactic Akashic & Astrology readings
Energy healing
Ancestral clearing
Shamanic soul retrieval
Part 8: Is this your season? If you are open to it, please answer these questions. Am I ready to invest in myself? Am I willing to make space for my healing? Am I open to experiencing change? Am I ready to remember who I truly am?
Closing Reflection: As you completed this assessment, what stood out to you the most? What surprised you? What is your heart quietly asking for? If you could hear your soul speaking to you today, what would it say? Thank you so much for sharing your thoughts and feelings! Please be sure to schedule your complimentary Life Clarity Session with Kathleen at https://www.kathleenandromeda.com/free-life-mission-clarity-call
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