Satori Prime's Self Evaluation Form

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

🏆 Student: I'm relatively new to personal development and healing arts (less than 1 year)

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

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

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

First Name

Last Name

Confirm your email address* This field is required.

example@example.com

What country do you reside in?* This field is required.Choose in the pull down menu below

Confirm Your Phone Number* This field is required.

Please enter a valid phone number.

What is your occupation or career?* This field is required.

How satisfied are you with what you do for work?* This field is required.

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

Under $2,500 / Month

$2,501 - $5,000 / Month

$5,001 - $7,500 / Month

$7,501 - $10,000 / Month

More Than $10,001/ Month

How do you perceive your relationship with money and your ability to attract abundance and support?* 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 life is constantly plagued by a lack of financial resources, which leaves me unable to fulfill all of my needs. 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.

What's the most urgent area of your life where you're seeking a little extra help, support, or perhaps a fresh start in the next 3 to 6 months?* This field is required.Think; relationships, physical well-being, emotional well-being, spiritual, financial, business, etc.

What Is Your Sense of Urgency In Transforming or Resolving This Important Area(s) of Your Life?

What's been holding you back from achieving your desired result?* This field is required.Select as many as apply to you

My finances

My career

My commitment or will

I feel like I'm too busy

My partner doesn't support my growth journey

Other

Why is NOW the best time to go all in and make this change a reality?

What have you tried in the past to transform this area(s) of your life?* This field is required.Select as many that apply to you

I have worked with a one-on-one coach before

I have participated in a group coaching program

I've read personal development books or watched videos online

I have one or more certifications in transformative modalities

I currently see (or previously have seen) a therapist

I've never participated in a program or community oriented in growth before

Which of these best describes you?* This field is required.Personal development, spiritual work, internal work, experiences, etc.

This will be 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 I deserve.

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.

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

I approach myself with completeness and kindness.

Living in a state of unconditional love and wholeness is a challenge for me as my subconscious patterns affect my relationships.

I tend to reject self-love, which results in me punishing or mocking myself internally.

Do you feel a sense of trust within yourself to make choices that are in your highest alignment?* This field is required.

I trust myself completely.

I have glimpses of my magic, but it's not fully stabilized.

I don't trust myself. I struggle to make healthy choices.

How would you rate the following areas in your life at this moment? * This field is required.There are 9 areas total you may need to scroll down to see more

I meditate...* This field is required.

Never

Rarely

1-3 Days Per Week

3-5 Days Per Week

Every Day!

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.

Yes! I am 100% all in to invest financially, emotionally, physically, and spiritually right now. I am read to elevate 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.

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, energy and resources 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.

What's sadder than a puppy in the rain? Our calendar when people miss calls. We love having engaging discussions with brilliant individuals like yourself. So, to avoid a sad calendar, please save the date and time for our call once you've booked yourself in on the next page. If you need to reschedule, just let us know by any means. This way, we can save the day and keep our calendar happy. What do you say?* This field is required.

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