Soul Empressions InnerG Questionnaire

Gender

Birth Name

First NameMiddle NameLast Name

Birth Month/Day/Year

Height

cm

Weight

KG

What do you do for a living or career path?

What is the activity level at your job?

Are you experiencing any stresses or motivational issues?

if yes please list:

How often do you travel?

Do you have a spiritual or religious practice

Please list any peferred or relatable religious or spiritual practices for you or your family

If you are familiar with Chakras, which Chakra(s) you are working on energizing and Why?

Are you comfortable in silence?

Do you pay attention to details?

Do you feel comfortable expressing your feelings/thoughts?

Do you hold grudges or seek revenge?

Do you have self discipline?

Do you feel comfortable having conversations with the opposite sex?

Are you easily distracted?

1.) Disclaimer

All innerG (energy) interpretations and inspiration is for your personal and private use. Any and all innerG (energy) interpretation and inspiration is not medical advice. IT IS SPIRITUAL and FOR your SOUL'S GOALS!

2.) Confidentiality

Any and all information provided is strictly and respectfully ONLY used to provide innerG (energy) interpretation and inspiration.

3.) Accurate Information for InnerG I & I

All the information provided on this form is true and real to receive responding innerG (energy ) interpretation and inspiration accordingly.

I AGREE TO THE THREE-FOLD TERMS ABOVE!

All FORMS of ENERGY will be returned within 72 hours of submitting A FORM of ENERGY.

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