Sales Lead Generation Form

1
What best describes your emotional state over the past two months?* Dies ist ein Pflichtfeld.
I often feel overwhelmed by emotions or stressed out.
I often feel numb, disconnected or stuck in old patterns.
I feel stable and can regulate my emotions most of the time.
2
What best describes your relationship with yourself and your body?* Dies ist ein Pflichtfeld.
I feel confident, self-aware and understand my body's responses very well.
I feel tension or pain sometimes and struggle to fully understand my body’s responses.
I feel pain or other body symptoms that I can't explain to myself most of the times.
3
What describes best your current situation?* Dies ist ein Pflichtfeld.
I experienced a life-changing event (in the last two month) and need support for integration.
I didn't experience a life-changing event but need support for clarity and orientation in my life.
I am happy with my life circumstances and don't see the need for change.
4
Name* Dies ist ein Pflichtfeld.
Name
Surname
5
Email* Dies ist ein Pflichtfeld.Your personalised result will be sent to your email. Please check your inbox. By submitting, you agree to receive emails from SOMA.
example@example.com
Should be Empty: