The Sovereign Millionaire Wealth Assessment
High earners, it's time to end financial sabotage so you can earn more, keep more, multiply, and enjoy it! Let's see the best way to get your journey started.
Full Name
*
First Name
Last Name
Age (Must be 18 or older)
Sex
Please Select
Male
Female
Non-binary
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
What is your current annual income?
$95,000 - $249,999
$250,000 – $499,999
$500,000 – $999,999
$1M – $5M
Over $5M
Have you received a sudden influx of wealth in the past 3–5 years?
Yes, through inheritance
Yes, from a business deal or contract
Yes, from a lottery win or settlement
Yes, from another source
Which of the following financial patterns or challenges do you currently experience? (Select all that apply)
Difficulty saving or holding onto money
Chronic overspending or emotional spending
Anxiety, fear, or guilt around wealth
Feast-or-famine financial cycles
Financial self-sabotage
Delayed or avoided investments
Feeling undeserving of abundance
Helping others to your detriment
None of the above
Have you worked with any of the following before? (Select all that apply)
Business coach
Financial advisor
Therapist
Energy healer
Hypnotherapist
I have not worked with any of the above
Why are you interested in The Sovereign Millionaire?
I want to heal emotional and subconscious money blocks
I want to feel safe and grounded in my wealth
I want to break old patterns of financial instability
I’ve tried everything else and need something deeper
Other
What do you most hope to gain from this experience?
A new relationship with money and wealth
Permanent inner peace and emotional stability around money
Tools to maintain and grow my wealth
Confidence in being a steward of abundance
Other
Are you open to the following modalities during this experience? (Select all that apply)
Hypnosis
Energy clearing
Somatic work
Subconscious reprogramming
Journaling and ritual work
I’m not sure yet
Are you willing and able to invest at least $47 into your healing and transformation?
Yes, I’m ready
Possibly, I’d like to discuss options
Not at this time
How soon would you like to get started?
Right now!
Within the next 30 days
Within the next 3 months
I’m just exploring for now
Would you be interested in learning more about participating in our beta test of the Sovereign Millionaire Instant Activation Sessions, valued at $25,000?
Yes. Please send me information.
No thanks. I'm good.
Is there anything else you'd like Shara to know before your application is reviewed? (Optional)
Submit
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